Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason S. Applebaum, MD, PC

Organization Dermatology Physician · NPI 1295459501

Jason S. Applebaum, MD, PC is a Dermatology Physician in Jericho, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 N Broadway
Jericho, NY 11753-2127
Phone: (917) 696-3954
Fax: (812) 461-0425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1295459501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Applebaum — Director · (917) 696-3923
Other names Shade Dermatology
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address104 Clover Dr, Great Neck, NY 11021-1030

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