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

Individual provider Anesthesiology Physician · NPI 1558367540

Kimberly A Jackus, MD is an Anesthesiology Physician in Astoria, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

3127 41st St
Astoria, NY 11103-3901
Phone: (718) 721-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 186183-1 (NY)

Record details

NPI number1558367540
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESSeptember 5, 2013
Mailing addressPo Box 280, Milltown, NJ 08850-0280

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