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Pamela Kenna Jackson

Driver β€’ Union, NJ

Active NPI 1013482439 Individual Practitioner Female Practitioner
Practice location in NPPES

1496 Village Rd Apt A
Union, NJ 070834461

Call 2012842307 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1496 Village Rd Apt A

Union, NJ 070834461

Telephone 2012842307
Organization at the Same NPPES Address or Phone
All Around Town Transportation Llc Facility NPI 1740051770

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Union and New Jersey

3 active clinicians are listed under Driver with a practice address in Union, NJ (127 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-09
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES NJ J00626147258862

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 09, 2024

Registered at 1496 VILLAGE RD APT A, UNION, NJ 070834461 (Tel: 2012842307)

πŸ“
Updated Business Mailing Address January 09, 2024

Registered at 1496 VILLAGE RD APT A, UNION, NJ 070834461 (Tel: 2012842307)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2024

Driver (license number reported to NPPES: NJ J00626147258862)

βœ…
NPI Profile Active October 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 12, 2018

Registered at 22 HOPE LN, ELIZABETHPORT, NJ 072061833 (Tel: 9084699312)

πŸ“
Business Mailing Address (Initial Record) October 12, 2018

Registered at 22 HOPE LN, ELIZABETHPORT, NJ 072061833 (Tel: 2012842307)

πŸ‘€
Provider Name / Credentials (Initial Record) October 12, 2018

Recorded as PAMELA JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2018

Driver

🟒
Initial NPI Registration & Enumeration October 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013482439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2018
Last Update: January 09, 2024
Sole Proprietor: Yes

Mailing Address

1496 Village Rd Apt A

Union, NJ 070834461

Phone: 2012842307

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.