Dr. Jared Jagdeo, M.D.
Dermatology, Procedural Dermatology in Brooklyn, NY. Individual provider (NPI-1).
NPI number1992983456
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1992983456
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared Jagdeo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2008
- Last updated
- Oct 25, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | 259396 | NY | Yes |
Practice location
450 Clarkson Ave Fl 8Brooklyn, NY 11203-2012
Phone 718-270-1229
Mailing address
1401 Ocean AveApt#4j
Brooklyn, NY 11230-3971
Phone 917-837-9796
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Procedural Dermatology Physician providers in Brooklyn, NY
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- Yehudi M FelmanNPI 1922188192
- H. Eliot Y. Ghatan, MDNPI 1730165614
- Marvin Isaac Snow, M.D.NPI 1437150240
- Suzanne Rozenberg, DO Brooklyn PCNPI 1841718228
All 7 Procedural Dermatology Physician providers in Brooklyn · All 80,721 providers in Brooklyn
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