Jordan S Fabrikant (NPI# 1649585753, PAC ID# 6002136140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1649585753 |
| PAC ID by PECOS | 6002136140 |
| Professional Enrollment ID | I20170620001628 |
| Full Name | Jordan S Fabrikant |
| Organization Legal Name | THE DERMATOLOGY GROUP |
| Address |
347 Mount Pleasant Ave Suite 104 West Orange NJ 07052-2745 |
| Phone Number | 9735712121 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7911971510 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 322 Professional View Dr, Freehold, NJ 07728-7904 | 9735712121 | THE DERMATOLOGY GROUP |
| 347 Mount Pleasant Ave, Suite 104, West Orange, NJ 07052-2745 | 9735712121 | THE DERMATOLOGY GROUP |
| Organization Legal Name | THE DERMATOLOGY GROUP |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Stierstorfer | Dermatology | The Dermatology Group | 1140 Welsh Rd, Suite 130, North Wales, PA 19454-2046 |
| Robert Nossa | Dermatology | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Lewis P Stolman | Dermatology | The Dermatology Group | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3986 |
| Robert Louis Thomas | Physician Assistant | The Dermatology Group | 322 Professional View Dr, Freehold, NJ 07728-7904 |
| Elysha Grauman | Physician Assistant | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Nicole Colucci | Physician Assistant | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Michael Bilkis | Dermatology | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Cindy Y Li | Dermatology | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Kevin Lee | Physician Assistant | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Marc A Abbate | Dermatology | The Dermatology Group | 60 Pompton Ave, Verona, NJ 07044-2946 |
| Street Address |
347 MOUNT PLEASANT AVE SUITE 104 |
| City | WEST ORANGE |
| State | NJ |
| Zip | 07052-2745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Piotr Slawomir Kisza | Interventional Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Arthur C Tutela Ii | Ophthalmology | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2745 | |
| Abhishek Kumar | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| David Philip Klyde | Interventional Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Pratik A Shukla | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Veronica C Dinu | Pathology | The Dermatology Group | 347 Mount Pleasant Ave, Suite 104, West Orange, NJ 07052-2745 |
| Charles Elias | Dermatology | The Dermatology Group | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2745 |
| John P Tutela | Plastic and Reconstructive Surgery | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Hertz | Vascular Surgery | 1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052-0256 | |
| Sanjay Lalla | Plastic and Reconstructive Surgery | 383 Northfield Ave, Suite 102, West Orange, NJ 07052-0383 | |
| Cheryl S Citron | Dermatology | 101 Old Short Hills Rd, West Orange, NJ 07052-1000 | |
| Jane K Hochberg | Clinical Psychologist | 56 Herbert Ter, West Orange, NJ 07052-1021 | |
| Jennifer D Fitzgibbons | Nurse Practitioner | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Irina Alekseyeva | Anesthesiology | Barnabas Health Multispecialty | 101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023 |
| Isaac Kramer | Internal Medicine | 101 Old Short Hills Rd, Suite 440, West Orange, NJ 07052-1023 | |
| Lisa E Abeshaus | Obstetrics/gynecology | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Deborah Greengrass | Nurse Practitioner | Gynecologic Cancer and Pelvic Surgery LLC | 101 Old Short Hills Rd, Suite 400, West Orange, NJ 07052-1023 |
| Vasileios Kostaras | General Surgery | Professional Associates In Surgery, LLP | 101 Old Short Hills Rd, Suite 206, West Orange, NJ 07052-1023 |
| Find all physicians in zip 07052 | |||
| City | WEST ORANGE |
| Zip Code | 07052 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEST ORANGE + DERMATOLOGY |
Please comment or provide details below to improve the information on Jordan S Fabrikant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.