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DR. JACK SKOWRON MD
NPI 1285694240
Pediatrics in Staten Island, NY

Active since March 24, 2006PECOS Enrolled
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-6440(718) 816-3739 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2019, Feb 6, 2017 (2 updates tracked since 2017).

About Dr. Jack Skowron Md NPPES

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

DR. JACK SKOWRON MD (NPI 1285694240) is an individual pediatrics provider in Staten Island, New York, licensed in New York (150345) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1285694240
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JACK SKOWRONCredential: MD
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Phone(718) 816-6440
Fax(718) 816-3739
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1285694240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 150345
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1050 CLOVE RD, Staten Island, NY 10301
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Secondary Practice Location 1

Location 14771 Hylan BlvdStaten Island, NY 10312-6315 · Phone (718) 948-8200 · Fax (718) 317-4111

Other Identifiers 1

Medicaid00716990NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Skowron Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10301 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 20

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

DEEPAK VADADA MD
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
MS. KERRIE MOLLOY-BARR N.P.
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ASHRAF SABRY HANNA MD
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
DR. KEITH JOSEPH DAHL D.O.
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
LANCE JUNG MD
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ADVANTAGECARE PHYSICIANS PC
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Richmond County (646) 680-1525
MARCELINA MEDRANO MD
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
JAMES GERARD REILLY D.O.
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440

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 Jack Skowron's NPI number?

The NPI number for Jack Skowron is 1285694240. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jack Skowron located?

Jack Skowron practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Jack Skowron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jack Skowron enrolled in Medicare?

Yes. Jack Skowron is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Skowron was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.