JEREMY UDKOFF NPI 1447756499

NPI Information

  • NPI: 1447756499
  • Provider Name: JEREMY UDKOFF
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 607 WASHINGTON RD LOWR LEVEL
    MT LEBANON, PA
    ZIP 15228
  • Phone: (412) 563-0217

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NPI Details

Jeremy Udkoff is a mohs-micrographic surgery dermatology in Mt Lebanon, PA with 7 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Jeremy Udkoff NPI is 1447756499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

607 WASHINGTON RD LOWR LEVEL
MT LEBANON, PA
ZIP 15228-903
Phone: (412) 563-0217

The NPI 1447756499 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.

  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/30/2018 and was last updated on 9/20/2024.

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
1207N00000XDermatology323142NEW YORKNo
2207ND0101XDermatologyMOHS-Micrographic Surgery323142NEW YORKNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryMD478556PENNSYLVANIAYes
4207N00000XDermatologyMD478556PENNSYLVANIANo

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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