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Jeremy Robert Man, M.D.

NPI 1104136381ActiveIndividual· Dermatology· Hackensack, NJ

Dermatology (M.D.) with Southern California Permanente Medical Group, practicing in Hackensack, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $439,497 for 836 claims, against $2,868 paid for services in 2024.

Overview

NPI1104136381
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedOct 20, 2010
Last updated in NPPESNov 4, 2021
Certified by providerNov 4, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X25MA08756000NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Dermatology (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients13
Services billed327 across 15 procedure codes
Paid by Medicare$2,868

Part D prescriptions in 2024

Prescriptions (claims)836 · 1,024 30-day fills
Patients301
Total drug cost$439,497
Generic share79% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyDermatology

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dermatology providers in Hackensack

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