Jerreyll Jackson, MD
NPI 1629009576 · Ophthalmology Physician · Long Island City, NY
Jerreyll Jackson, MD is a Ophthalmology Physician provider in Long Island City, NY (NPI 1629009576).
Provider details
- NPI number
- 1629009576
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA07982400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2008-12-08
Frequently asked questions
- What is Jerreyll Jackson's NPI number?
- Jerreyll Jackson's National Provider Identifier (NPI) is 1629009576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerreyll Jackson's specialty?
- Jerreyll Jackson is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Jerreyll Jackson located?
- Jerreyll Jackson's practice location on file with NPPES is 4604 31st Ave, Long Island City, NY 11103-1842.
- What is Jerreyll Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jerreyll Jackson is (212) 889-1171.
- Is Jerreyll Jackson's NPI active?
- Yes — Jerreyll Jackson's NPI (1629009576) is active in the NPPES registry as of the last update on 2008-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.