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

Dr. Jordan Spence Zuckerman, MD

Individual provider Procedural Dermatology Physician · NPI 1043205016

Dr. Jordan Spence Zuckerman, MD is a Dermatology in Bayside, New York. Graduated from Columbia University College of Physicians and Surgeons in 1985, 41 years ago. Practices with New York Dermatology, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2383 Bell Blvd Uppr Level
Bayside, NY 11360-2053
Phone: (718) 423-0200
Fax: (718) 423-3134
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 168660 (NY)

Record details

NPI number1043205016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1985 (41 years in practice)
Group practice New York Dermatology, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare