Search › New York › 207R00000X
Mark Jackson, MD
NPI 1043272974 · on the registry since 2006
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Conviction relating to patient abuse or neglect
- Authority
- Section 1128a2 · mandatory · 5 years minimum
- Excluded
- 2021-03-18
- Recorded as
- Internal Medicine
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 1456 Fulton St
Brooklyn, NY 11216 - Phone
- (718) 636-4500
- Fax
- (341) 729-6836
- Organisation at this address
- 1413 Rx Ny Llc
1413 Rx Ny Llc
Freeman Podiatry Pllc
Bedford Stuyvesant Family Health Center
Bedford Stuyvesant Family Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York