Jordan Fabrikant, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

OS11753 Issued in FL

Practice address

921 Town Center Dr
Orange City, FL 32763-8311

Phone

(386) 218-1180

Fax

(386) 218-0950

NPI assigned

Aug 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CA, NY, NJ, CO5 enrollments

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 5

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.81 of 100Reported as group

Quality

99.61

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.15 of 100Reported as group

Quality

92.3

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Aqua Dermatology of Florida, PA

  dba Gardens Plastic Surgery

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1538270335
  Medicare reassignment Care Compare group NPD
• Eastbay Medical PC

  • Dermatology Physician
  • Bellmore, NY
  • NPI 1063272474
  Medicare reassignment NPD Authorized official
• Advanced Dermatology of New Jersey PC

  • Procedural Dermatology Physician
  • Ridgewood, NJ
  • NPI 1225362783
  Medicare reassignment NPD
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  Medicare reassignment NPD
• Dr Donna a Serure, Dermatology & Cosmetic Laser Surgery, PC

  • Dermatology Physician
  • Smithtown, NY
  • NPI 1902959893
  Medicare reassignment NPD
• Rockville Dermatology, PC

  • Dermatology Physician
  • Rockville Centre, NY
  • NPI 1356349153
  Medicare reassignment NPD
• Sage Dermatology LLC

  • Dermatology Physician
  • Loveland, CO
  • NPI 1255002101
  Medicare reassignment
• Naples Center for Dermatology & Riverchase Dermatology

  dba Riverchase Dermatology

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
  • NPI 1538645775
  NPD
• Laserderm Dermatology & Cosmetic Laser Surgery

  • Dermatopathology Physician
  • Smithtown, NY
  • NPI 1942150131
  NPD
• Water's Edge Dermatology, LLC

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1134148992
  NPD (past)
• Alexander Rabinovich Medical PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1962735589
  NPD (past)
• Clark Dermatology, LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1417316274
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1649585753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638311",
            "telephone_number": "386-218-1180",
            "fax_number": "386-218-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7605 Conroy Windermere Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328352646",
            "country_code": "US",
            "telephone_number": "321-732-8150",
            "fax_number": "407-613-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Town Plaza Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320815169",
            "country_code": "US",
            "telephone_number": "904-404-8555",
            "fax_number": "904-517-1619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABRIKANT",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11753",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS11753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza Home Health Care LLC
• Evans Teleoptometric Service FL PA
• Michael Evans
• Everett H. Wells, D.C.P.a.
• Everything ABA LLC
• Facial & Oral Surgical Solutions, PLLC
• Marianne Rita Falasco, ARNP-BC,
• Family Medical Equipment & Supply, Inc.
• Family Practice of West Volusia Inc (Family Practice of West Volusia- Orange City)
• Family Tyme LLC (Preferred Care at Home of West Volusia)

• MOHS-Micrographic Surgery Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.