Jonathan Jackson, MD
NPI 1033772603 · Student in an Organized Health Care Education/Training Program · Boston, MA
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Jackson, MD is a Student in an Organized Health Care Education/Training Program provider in Boston, MA (NPI 1033772603).
Provider details
- NPI number
- 1033772603
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1018356 (MA)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1468 Madison Ave Fl 8New York, NY 10029-6508Phone: (212) 241-7473
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2024-06-23
- Certified
- 2024-06-23
Frequently asked questions
- What is Jonathan Jackson's NPI number?
- Jonathan Jackson's National Provider Identifier (NPI) is 1033772603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Jackson's specialty?
- Jonathan Jackson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jonathan Jackson located?
- Jonathan Jackson's practice location on file with NPPES is 55 Fruit St, Boston, MA 02114-2621.
- What is Jonathan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Jackson is (617) 726-3030.
- Does Jonathan Jackson accept Medicare?
- Jonathan Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Jackson's NPI active?
- Yes — Jonathan Jackson's NPI (1033772603) is active in the NPPES registry as of the last update on 2024-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.