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JACKSON DERMATOLOGY PLLC
NPI 1275764011
Specialist in Brooklyn, NY

Active since July 28, 2009
55 GREENE AVE, SUITE 2D, BROOKLYN, NY 11238(914) 449-4970 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Dermatology Pllc NPPES

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

JACKSON DERMATOLOGY PLLC (NPI 1275764011) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since July 2009. The organization lists Michael E Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1275764011
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON DERMATOLOGY PLLC
Location Address55 GREENE AVE, SUITE 2DBrooklyn, NY 11238-1026
Mailing Address55 Greene Ave, Suite 2dBrooklyn, NY 11238-1026 · (914) 449-4970
Phone(914) 449-4970
Organization SubpartNo
Authorized OfficialMichael E JacksonOwner · (914) 449-6970
Enumeration DateJuly 28, 2009
✔ NPI 1275764011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 177618
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
55 GREENE AVE, Brooklyn, NY 11238
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

DR. JEDIDIAH BURACK MD
Internal Medicine
55 GREENE AVE
BROOKLYN, NY 11238
Kings County (718) 789-5900
WEILL MEDICAL COLLEGE OF CORNELL
Internal Medicine (Gastroenterology)
55 GREENE AVE
BROOKLYN, NY 11238
Kings County (718) 789-5900
ADENIKE AUGUSTE NP
Nurse Practitioner (Women's Health)
55 GREENE AVE
BROOKLYN, NY 11238
Kings County (718) 789-5900
VIJAY K. BATTU M.D., P.C.
Ophthalmology
55 GREENE AVE, 2B
BROOKLYN, NY 11238
Kings County (718) 636-2070
DR. AKIYOMI O. FIELDS M.D.
Internal Medicine
55 GREENE AVE, STE. LLB
BROOKLYN, NY 11238
Kings County (718) 789-5900
KIRAN K BHAT M.D.
Internal Medicine (Gastroenterology)
55 GREENE AVE
BROOKLYN, NY 11238
Kings County (917) 400-9426
HANSON PLACE PHYSICIAN ASSOCIATES, P.C.
Internal Medicine (Gastroenterology)
55 GREENE AVE, SUITE 2F
BROOKLYN, NY 11238
Kings County (718) 783-3690
DR. OLGA WILDFEUER MD
Internal Medicine
55 GREENE AVE
BROOKLYN, NY 11238
Kings County (718) 789-5900

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 Jackson Dermatology PLLC's NPI number?

The NPI number for Jackson Dermatology PLLC is 1275764011. It was assigned to this organization in the NPPES registry on July 28, 2009.

Where is Jackson Dermatology PLLC located?

Jackson Dermatology PLLC is located at 55 Greene Ave Suite 2D, Brooklyn, NY 11238. The listed phone number is (914) 449-4970.

What is Jackson Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jackson Dermatology PLLC was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.