Jordan Spence Zuckerman, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

168660 Issued in NY

Practice address

2383 Bell Blvd
Upper Level
Bayside, NY 11360-2053

Phone

(718) 423-0200

Fax

(718) 423-3134

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York Dermatology, PC

  • Specialist
  • Bayside, NY
  • NPI 1881879773

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Accredited Dermatologic Surgery, PC

  • Ambulatory Surgical Clinic/Center
  • Bayside, NY
  • NPI 1992208144
  NPD Authorized official
• Khawaja Ali Hassan, Physician, PC

  • Plastic and Reconstructive Surgery Physician
  • Rockville Centre, NY
  • NPI 1104189406
  NPD (past)
• Newyork-Presbyterian/Queens

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1013960962
  NPD (past)
• Pension Committee Joint Industry Board

  • Clinic/Center
  • Flushing, NY
  • NPI 1033265095
  NPD (past)

Specialty

Dermatology

Education

Columbia University College of Physicians and Surgeons, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Dermatology, PC 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.01 of 100Reported as group

Quality

98.19

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (5 of 9)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12622/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043205016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 BELL BLVD",
            "address_2": "UPPER LEVEL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602053",
            "telephone_number": "718-423-0200",
            "fax_number": "718-423-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 BELL BLVD",
            "address_2": "UPPER LEVEL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602053",
            "telephone_number": "718-423-0200",
            "fax_number": "718-423-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "JORDAN",
        "middle_name": "SPENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "168660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenfei Zhou, RN
• Gianoula Ziavras, M.S., CCC-SLP
• Lana Zinger, RD
• Zoe Liang Psychotherapy LCSW PC
• Alisbel Zorrilla, SLP
• Ruth Zuckerman, RN

• All providers in Bayside, NY
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.