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Active NPI 1184883365 Individual Practitioner Male Practitioner

Dwight Sheldon Jack , RN

Registered Nurse - General Practice • Rosedale, NY

Professional Overview & Biography Verified Profile Summary

Dwight Jack, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Rosedale, NY. Practice services are available at 24123 148TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24123 148th Ave

Rosedale, NY 114223265

Telephone 7187231083
Fax 7187231083

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Rosedale, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Rosedale, NY (648 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License NY 548498

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alicia Kelly , RN

Registered Nurse

NPI 1366601544

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2008

Registered at 24123 148TH AVE, ROSEDALE, NY 114223265 (Tel: 7187231083)

📍
Updated Business Mailing Address June 03, 2008

Registered at 24123 148TH AVE, ROSEDALE, NY 114223265 (Tel: 7187231083)

👤
Provider Name / Credentials Updated June 03, 2008

Recorded as DWIGHT JACK, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Registered Nurse (License #548498 in NY)

🟢
Initial NPI Registration & Enumeration June 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184883365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2008
Last Update: June 03, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

24123 148th Ave

Rosedale, NY 114223265

Phone: 7187231083

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.