TAMIKO V JACKSON MD – NPI #1962680934
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

TAMIKO V JACKSON MD is a provider located in NEW HAVEN, CT. NPPES has assigned the NPI number 1962680934 to TAMIKO V JACKSON MD on February 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TAMIKO V JACKSON MD” is a dba name, the actual legal business name for this organization is NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAMIKO V JACKSON MD below.

NPI Profile for
NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV

NPI Number
1962680934
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW HAVEN PEDIATRIC & ADOLESCENT MEDICAL SERV
Doing Business As (dba): TAMIKO V JACKSON MD
Primary location
1423 CHAPEL ST
UNIT 2B
NEW HAVEN, CT 06511
Phone: (203) 752-0706 Fax: (203) 772-0387
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGEL JACKSON
OFFICE MANAGER
Phone: (203) 906-3854
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)		 CT 0136872
363LP0200X
- Nurse Practitioner / Pediatrics		 CT 0002815

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.