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

Jacqueline Minasso, MD

Individual provider Dermatology Physician · NPI 1407122674

Jacqueline Minasso, MD is a Dermatology in New Hyde Park, New York. Graduated from State University of Ny Upstate Medical University in 2012, 14 years ago. Practices with Kelsey-Seybold Medical Group, PLLC, a 942-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
14
Trained at
State University of Ny Upstate Medical University
Licensed in
NY, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1991 Marcus Ave Ste 300
New Hyde Park, NY 11042-2123
Phone: (516) 719-3376
Fax: (516) 321-8514
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 345 Saint Paul Pl, Baltimore, MD 21202-2123 — (410) 332-9694
  • 345 Saint Paul Pl, Baltimore, MD 21202-2123 — (410) 332-9694
  • 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 — (713) 442-2000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 286880 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence T9451 (TX)

Record details

NPI number1407122674
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2012
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Kelsey-Seybold Medical Group, Pllc — 942 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park