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

Talicia Jackson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1053932178

Talicia Jackson, MD is an Obstetrics/Gynecology in Newark, New Jersey. Qualified in 2020, 6 years ago. Practices with University Physician Associates of New Jersey Inc, a 377-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
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

140 Bergen St # C
Newark, NJ 07103-2425
Phone: (973) 972-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5MA12190200 (NJ)

Record details

NPI number1053932178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address140 Bergen St # C, Newark, NJ 07103-2425

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Physician Associates Of New Jersey Inc — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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