OrganizationActive
Jackson Dermatology PLLC
NPI 1275764011 · Specialist · Brooklyn, NY
Jackson Dermatology PLLC is a Specialist organization in Brooklyn, NY (NPI 1275764011).
Provider details
- NPI number
- 1275764011
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Jackson, Owner(914) 449-6970
- License
- 177618 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Greene Ave
Suite 2d
Brooklyn, NY 11238-1026
Phone: (914) 449-4970
Street-level locationGet directions
Mailing address
55 Greene Ave
Brooklyn, NY 11238-1026
Registry dates
- Enumerated
- 2009-07-28
- Last updated
- 2009-07-28
Frequently asked questions
- What is Jackson Dermatology PLLC's NPI number?
- Jackson Dermatology PLLC's National Provider Identifier (NPI) is 1275764011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Dermatology PLLC?
- Jackson Dermatology PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jackson Dermatology PLLC located?
- Jackson Dermatology PLLC's practice location on file with NPPES is 55 Greene Ave, Brooklyn, NY 11238-1026.
- What is Jackson Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Dermatology PLLC is (914) 449-4970.
- Who is the authorized official for Jackson Dermatology PLLC?
- The authorized official listed on Jackson Dermatology PLLC's NPPES record is Michael Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Dermatology PLLC's NPI active?
- Yes — Jackson Dermatology PLLC's NPI (1275764011) is active in the NPPES registry as of the last update on 2009-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.