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

Dr. Michael E. Jackson, MD

Individual provider Dermatology Physician · NPI 1912991019

Dr. Michael E. Jackson, MD is a Dermatology in Brooklyn, New York. Graduated from State University of New York Downstate Medical Center in 1986, 40 years ago. Practices with Tbhc Physician Services PC, a 113-clinician group. Licensed in New York.

Years since qualifying
40
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2005
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

55 Greene Ave 2D/2E
Brooklyn, NY 11238-6406
Phone: (718) 623-2783
Fax: (718) 623-2787
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 177618-1 (NY)

Record details

NPI number1912991019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 2, 2005
Last updated in NPPESSeptember 4, 2015

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1986 (40 years in practice)
Group practice Tbhc Physician Services Pc — 113 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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