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JEROME L. SHUPACK, MD PC
NPI 1538479217
Dermatology in New York, NY

Active since October 15, 2010
530 1ST AVE # 7F, NEW YORK, NY 10016(212) 263-7344(212) 263-5991 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerome L. Shupack, Md Pc NPPES

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

JEROME L. SHUPACK, MD PC (NPI 1538479217) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since October 2010. The organization lists Jerome Leonard Shupack, President, as its authorized official.

NPPES Registry Identity

NPI1538479217
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJEROME L. SHUPACK, MD PC
Location Address530 1ST AVE # 7FNew York, NY 10016-6402
Mailing Address530 1st Ave # 7fNew York, NY 10016-6402 · (212) 263-7344 · Fax (212) 263-5991
Phone(212) 263-7344
Fax(212) 263-5991
Organization SubpartNo
Authorized OfficialJerome Leonard ShupackPresident · (212) 263-7344
Enumeration DateOctober 15, 2010
✔ NPI 1538479217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 092742
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.
530 1ST AVE # 7F, New York, NY 10016
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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

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 Jerome L. Shupack, MD PC's NPI number?

The NPI number for Jerome L. Shupack, MD PC is 1538479217. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Jerome L. Shupack, MD PC located?

Jerome L. Shupack, MD PC is located at 530 1st Ave # 7F, New York, NY 10016. The listed phone number is (212) 263-7344.

What is Jerome L. Shupack, MD PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerome L. Shupack, MD PC was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.