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

Jerome L. Shupack, MD PC

Organization Dermatology Physician · NPI 1538479217

Jerome L. Shupack, MD PC is a Dermatology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

530 1st Ave # 7F
New York, NY 10016-6402
Phone: (212) 263-7344
Fax: (212) 263-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 092742 (NY)

Record details

NPI number1538479217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Shupack — President · (212) 263-7344
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010
Mailing address530 1st Ave # 7f, New York, NY 10016-6402

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