Jeremy Nikfarjam Medical, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JEREMY NIKFARJAM MEDICAL, PC

Practice address

1045 Northern Blvd FL 2
Roslyn, NY 11576-1502

Phone

(516) 279-2616

NPI assigned

Nov 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremy Nikfarjam, MDNPI 1801183363

Title

Provider/Owner

Phone

(516) 279-2616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Newburger, D.O

  • Dermatology Physician
  • Roslyn, NY
  • NPI 1215215355
  Medicare reassignment NPD
• Jeremy Saul Nikfarjam, M.D.

  • Plastic Surgery Physician
  • Roslyn, NY
  • NPI 1801183363
  NPD Authorized official
• Micheline Goulart, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Roslyn, NY
  • NPI 1568840940
  NPD
• Alexander Haosi Sun, MD, MHS

  • Plastic Surgery Physician
  • Roslyn, NY
  • NPI 1952899361
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1346110202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 NORTHERN BLVD FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761502",
            "telephone_number": "516-279-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY NIKFARJAM MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "NIKFARJAM",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "516-279-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chetak Jain, PHARMD
• Jonathan Brett Jassey, D.O.
• Vinod K. Jayam, M.D.
• Jenna Litt Nutrition, LLC
• Jeremy Nikfarjam MD PC
• Rita A Jermyn, MD
• John B. Chang,MDPC
• John E Chicvak DDS PPLC
• Tency R Johnson, P.A
• Joseph H. Levine, M.D., P.C.

• Dermatology Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.