Jackson Family Practice LLC
NPI 1922244060ActiveOrganization· Family Medicine· Freehold, NJ
Family Medicine in Freehold, New Jersey, registered in NPPES in December 2008. The authorized official on file is Miah Kim, DO, Owner.
Overview
| NPI | 1922244060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2008 |
| Last updated in NPPES | Jun 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MB05981900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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