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DR. MICHAEL A JACOBSON M.D. NPI 1649352964


NPI Information

NPI: 1649352964
Provider Name: DR. MICHAEL A JACOBSON, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1051 LONG RIDGE RD
STAMFORD, CT
ZIP 06903
Phone: (203) 329-7960
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DR. Michael A Jacobson, M.D. is a dermatology in Stamford, CT with 20 years of experience. The provider is 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. DR. Michael A Jacobson, M.D. NPI is 1649352964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2004

The provider's business location address is:

1051 LONG RIDGE RD
STAMFORD, CT
ZIP 06903-436
Phone: (203) 329-7960
Fax: (203) 329-7920

The NPI 1649352964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 10/19/2006 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD434064PENNSYLVANIAYes
2207N00000XDermatologyLL27743SOUTH CAROLINANo
3207ND0101XDermatologyMOHS-Micrographic Surgery260244-1NEW YORKNo
4207ND0101XDermatologyMOHS-Micrographic Surgery047462CONNECTICUTNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.