Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Dermatology PLLC

Organization Specialist · NPI 1275764011

Jackson Dermatology PLLC provides Specialist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 Greene Ave Ste 2D
Brooklyn, NY 11238-1026 Not confirmed with CMS for 17 years — call before visiting
Phone: (914) 449-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 177618 (NY)

Record details

NPI number1275764011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Jackson — Owner · (914) 449-6970
NPI enumeratedJuly 28, 2009
Last updated in NPPESJuly 28, 2009
Mailing address55 Greene Ave, Suite 2d, Brooklyn, NY 11238-1026

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