Individual provider Active NPI

Taylor Jaclyn Zuber

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1801359161
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
260614 Issued in NC
Practice address
410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone
(984) 974-3900
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 260614 NC Primary

Addresses

Primary practice location

410 Market St Ste 400
Chapel Hill, NC 27516-4061

Mailing address

410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone (984) 974-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230810002283 NC Practitioner - Dermatology 7113358615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

2406 Blue Ridge Rd
Suite 220
Raleigh, NC 27607-6692
Phone (919) 791-0840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions361
Removal or shaving of skin growth1-10
Skin biopsy190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260614NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Sep 1, 2023 Accepting new patients
Flynn Dermatology PA CurrentSince Sep 1, 2023 Accepting new patients
University of North Carolina at Chapel Hill Dermatology PastSince Jun 21, 2020 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 220
Raleigh, NC 27607
Phone (919) 791-0840

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

5603 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (919) 791-0840

Interoperability endpoints

  • Direct secure messaging: tzuber@familydermatology.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1801359161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3900",
            "fax_number": "984-974-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBER",
        "first_name": "TAYLOR",
        "middle_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "260614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.