Individual provider Active NPI

Jameson Taylor Loyal, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1679004766
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
307026 Issued in NY
Practice address
120 E 75TH St Ste 1a
New York, NY 10021-3240
Phone
(212) 288-6133
NPI assigned
Mar 21, 2017
Last updated
May 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 307026 NY Primary
Dermatology Physician 207N00000X A172871 CA

Addresses

Primary practice location

120 E 75TH St Ste 1a
New York, NY 10021-3240

Mailing address

120 E 75TH St Ste 1a
New York, NY 10021-3240
Phone (212) 288-6133

Other practice location 1

7720 Fay Ave
LA Jolla, CA 92037-4309
Phone (858) 454-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20170809001918 VT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7113298175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172871CAMDDermatology Physician
307026NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Dermatology Past Accepting new patients
La Jolla Cosmetic Laser Clinic Inc PastSince Aug 23, 2013 Accepting new patients
Amy B Lewis MD PC Dermatology PastSince Sep 4, 2018 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1679004766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 Fay Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374309",
            "country_code": "US",
            "telephone_number": "858-454-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOYAL",
        "first_name": "JAMESON",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "307026",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A172871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.