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

Siew Jackson

Individual provider Registered Nurse · NPI 1174212336

Siew Jackson is a Nurse Practitioner in Waldwick, New Jersey. Qualified in 2022, 4 years ago. Practices with Physician Partners of Englewood PC, a 95-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

140 Franklin Tpke Ste 6A
Waldwick, NJ 07463-1836
Phone: (201) 447-3603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ14863400 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR13538400 (NJ)

Record details

NPI number1174212336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address669 Briarcliff Ave, Maywood, NJ 07607-1401

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physician Partners Of Englewood Pc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waldwick