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

Dr. Michael A Jacobson, MD

Individual provider Dermatology Physician · NPI 1649352964

Dr. Michael A Jacobson, MD is a Micrographic Dermatologic Surgery (Mds) in Stamford, Connecticut. Graduated from Jefferson Medical College of Thomas Jefferson University in 2004, 22 years ago. Practices with Long Ridge Dermatology LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut, New York, Pennsylvania and South Carolina.

Years since qualifying
22
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CT, NY, PA, SC
In the registry since
2006
Specialties on file
4
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

1051 Long Ridge Rd
Stamford, CT 06903-4436
Phone: (203) 329-7960
Fax: (203) 329-7920
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD434064 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence LL27743 (SC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 047462 (CT)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 260244-1 (NY)

Record details

NPI number1649352964
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJanuary 18, 2017
Mailing address1051 Long Ridge Rd, Stamford, CT 06903-4436

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Long Ridge Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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