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

Dr. Ramon Jordan Jackson III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477175008

Dr. Ramon Jordan Jackson III, MD is a Student in an Organized Health Care Education/Training Program in Greenvale, New York. Registered with an NPI since 2020.

In the registry since
2020
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

2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Phone: (516) 304-7234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477175008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

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