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

Ezra Hazan

Individual provider MOHS-Micrographic Surgery Physician · NPI 1649666975

Ezra Hazan is a Dermatology in Brooklyn, New York. Graduated from Jefferson Medical College of Thomas Jefferson University in 2015, 11 years ago. Practices with Clark Dermatology LLC, a 46-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2015

Practice location Address checks out

7901 4th Ave
Brooklyn, NY 11209-3972
Phone: (718) 491-5800
Show map & directions

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

Additional practice locations (2)

  • 8 Forrestal Rd S, Princeton, NJ 08540-6658 — (609) 799-6222
  • 833 Chestnut St, Philadelphia, PA 19107-4414 — (215) 955-4947

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 301085 (NY)

Record details

NPI number1649666975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Clark Dermatology Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Brooklyn