Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marilyn M. Jackson, MD

Individual provider Internal Medicine Physician · NPI 1811097744

Dr. Marilyn M. Jackson, MD is an Internal Medicine in New York, New York. Qualified in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 W 57th St Ste B
New York, NY 10019-1763
Phone: (212) 247-8023
Fax: (212) 247-8024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 189136 (NY)

Record details

NPI number1811097744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESOctober 21, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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