What is Dwight Jack's NPI number?

Dwight Jack's National Provider Identifier (NPI) is 1184883365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dwight Jack's specialty?

Dwight Jack is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse (Nursing Service Providers).

Where is Dwight Jack located?

Dwight Jack's practice location on file with NPPES is 24123 148th Ave, Rosedale, NY 11422-3265.

What is Dwight Jack's phone number?

The practice phone number listed in the NPPES registry for Dwight Jack is (718) 723-1083.

Is Dwight Jack's NPI active?

Yes — Dwight Jack's NPI (1184883365) is active in the NPPES registry as of the last update on 2008-06-03.

IndividualActive

Dwight Jack, RN

NPI 1184883365 · General Practice Registered Nurse · Rosedale, NY

Dwight Jack, RN is a General Practice Registered Nurse provider in Rosedale, NY (NPI 1184883365).

Provider details

NPI number: 1184883365
Entity type: Individual
Primary specialty: General Practice Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: Yes
License: 548498 (NY)

Specialties & taxonomies

General Practice Registered NursePrimary163WG0000XLicense 548498 (NY)
Nursing Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

24123 148th Ave

Rosedale, NY 11422-3265

Phone: (718) 723-1083

Fax: (718) 723-1083

Street-level locationGet directions

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Mailing address