1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Dermatology
  6. NPI Profile

DR. JEREMY ROBERT MAN M.D.
NPI 1104136381
Dermatology in Hackensack, NJ

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 702, HACKENSACK, NJ 07601(201) 441-9890(201) 441-9893 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Robert Man M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY ROBERT MAN M.D. (NPI 1104136381) is an individual dermatology provider in Hackensack, New Jersey, licensed in New Jersey (25MA08756000) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104136381
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JEREMY ROBERT MANCredential: M.D.
Location Address20 PROSPECT AVE STE 702Hackensack, NJ 07601-1974
Mailing Address20 Prospect Ave Ste 702Hackensack, NJ 07601-1974 · (201) 441-9890 · Fax (201) 441-9893
Phone(201) 441-9890
Fax(201) 441-9893
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 20, 2010
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1104136381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MA08756000
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
20 PROSPECT AVE STE 702, Hackensack, NJ 07601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy Robert Man M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678740586
PECOS Enrollment IDI20140719000037
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY TANK PA-C
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. VIDYA MANI MEDEPALLI MD
Dermatology
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
JOSEPHINE KALLAH MSPA-C
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. SHIKHA RAO MD
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (212) 283-3000
ERIN COURTNEY NP-C
Nurse Practitioner (Adult Health)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (201) 441-9890
DR. DAVID J GOLDBERG M.D
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
CRYSTAL SABRINA FERMANO
Physician Assistant
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (908) 359-8980
DR. DAVID HERMOGENES CIOCON M.D.
Dermatology (MOHS-Micrographic Surgery)
20 PROSPECT AVE STE 702
HACKENSACK, NJ 07601
Bergen County (201) 441-9890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Man's NPI number?

The NPI number for Jeremy Man is 1104136381. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Jeremy Man located?

Jeremy Man practices at 20 Prospect Ave Ste 702, Hackensack, NJ 07601. The listed phone number is (201) 441-9890.

What is Jeremy Man's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeremy Man enrolled in Medicare?

Yes. Jeremy Man is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Man was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.