DR. JORDAN SPENCE ZUCKERMAN (NPI# 1043205016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043205016 |
| Entity Type | Individual |
| Full Name | DR. JORDAN SPENCE ZUCKERMAN |
| Credential | M.D. |
| Practice Address |
2383 Bell Blvd Upper Level Bayside NY 11360-2053 |
| Practice Telephone | 7184230200 |
| Practice Fax Number | 7184233134 |
| Mailing Telephone | 7184230200 |
| Mailing Fax Number | 7184233134 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
168660 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2383 BELL BLVD UPPER LEVEL |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881879773 | New York Dermatology, PC | Specialist | 2383 Bell Blvd, Bayside, NY 11360-2053 | 2008-01-09 |
| 1235333204 | Neil Blatt | Podiatrist | 2383 Bell Blvd, Bayside, NY 11360-2053 | 2007-06-13 |
| 1326136227 | Phoebe C. Tam | Physician Assistant | 2383 Bell Blvd, Bayside, NY 11360-2053 | 2006-10-10 |
| 1124129390 | Janna Gefter | Podiatrist | 2383 Bell Blvd, Bayside, NY 11360-2053 | 2006-09-26 |
| 1508809807 | Neil Blatt | Podiatrist | 2383 Bell Blvd, Bayside, NY 11360-2053 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1710443015 | Robert Paul Cipolla | Dermatology | 48 Cordelia Ave, Staten Island, NY 10309-3434 | 2019-02-12 |
| 1861889552 | Miriam R Lieberman | Dermatology | 2003 Avenue J Ste 1c, Brooklyn, NY 11210-3605 | 2015-04-20 |
| 1417206459 | Brett Marsh Dolgin | Dermatology | 255 Great Neck Rd Apt Ph15, Great Neck, NY 11021-3358 | 2012-09-06 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1073780540 | Lewis M. Dubroff, M.d.,p.c. | Dermatology | 475 Irving Ave Ste 314, Syracuse, NY 13210-1528 | 2008-05-13 |
| 1992983456 | Jared Jagdeo | Dermatology | 450 Clarkson Ave Fl 8, Brooklyn, NY 11203-2012 | 2008-02-07 |
| 1437339447 | Mary Louise Lenahan | Dermatology | 9388 Transit Rd, East Amherst, NY 14051-1494 | 2007-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.