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

Individual provider Pediatrics Physician · NPI 1285694240

Dr. Jack Skowron, MD is a Pediatrics Physician in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Clove Rd
Staten Island, NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4771 Hylan Blvd, Staten Island, NY 10312-6315 — (718) 948-8200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 150345 (NY)

Record details

NPI number1285694240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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