DR. JORDAN SPENCE ZUCKERMAN M.D. NPI 1043205016

NPI Information

  • NPI: 1043205016
  • Provider Name: DR. JORDAN SPENCE ZUCKERMAN, M.D.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2383 BELL BLVD
    UPPER LEVEL
    BAYSIDE, NY
    ZIP 11360
  • Phone: (718) 423-0200

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NPI Details

DR. Jordan Spence Zuckerman, M.D. is a procedural dermatology dermatology in Bayside, NY with 40 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Jordan Spence Zuckerman, M.D. NPI is 1043205016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1985

The provider's business location address is:

2383 BELL BLVD
UPPER LEVEL
BAYSIDE, NY
ZIP 11360-053
Phone: (718) 423-0200
Fax: (718) 423-3134

The NPI 1043205016 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Biopsy of ear (HCPCS:69100)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
  • Destruction of growth of eyelid margin, 1.0 cm or less (HCPCS:67850)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology168660NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101032GMEDICARE ID-TYPE UNSPECIFIED
2E82863MEDICARE UPIN

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: 3/30/2025

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