JACOB ALEXANDER MOJESKI (MD) – Dermatology Physician, NPI 1386271369

JACOB ALEXANDER MOJESKI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 61491489 (WA). The NPI Number for JACOB ALEXANDER MOJESKI (MD) is 1386271369

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB ALEXANDER MOJESKI (MD)
NPI
1386271369
Phone
(617) 726-2000
Address
55 FRUIT ST
Enumeration Date
27 March 2020
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257532918
Graduation Year
2020 (6 years ago)
PAC ID
4880004522
Group Practice PAC ID
5597985317
Professional Enrollment ID
I20240708000979
Address ID
WA980043801BE1414XNEXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for JACOB ALEXANDER MOJESKI (MD)

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (617) 726-2000

    Type: Location

  • 200 CHESTNUT ST

    WILSON, NY 141729663

    Phone: (716) 531-1270

    Type: Mailing

  • 1414 116TH AVE NE STE E

    BELLEVUE, WA 980043801

    Phone:

    Type: Mailing

  • 450 CLARKSON AVE

    BROOKLYN, NY 112032012

    Phone: (718) 270-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,577.

Total Amount is formed as General ($1,577) + Research ($0) + Ownership ($0) = $1,577.

Last reported payment date: 2024-05-25 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($460).

Total Amount

$1,577

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,577

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240708000979IDermatologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597985317View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
Physician AssistantWA
Nurse PractitionerPA
D E R M A T O L O G YWA
D E R M A T O L O G YWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is JACOB ALEXANDER MOJESKI (MD)'s NPI number?
JACOB ALEXANDER MOJESKI (MD)'s NPI is 1386271369 — the number used across U.S. healthcare to identify this provider.
Would JACOB ALEXANDER MOJESKI (MD) appear as active to a payer?
You can treat JACOB ALEXANDER MOJESKI (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JACOB ALEXANDER MOJESKI (MD)?
JACOB ALEXANDER MOJESKI (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JACOB ALEXANDER MOJESKI (MD) registered?
Use Boston, Massachusetts as the headline location for JACOB ALEXANDER MOJESKI (MD) here.
Can I trust this NPI listing for JACOB ALEXANDER MOJESKI (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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