JACK SADACKA M.D NPI 1356424915

NPI Information

  • NPI: 1356424915
  • Provider Name: JACK SADACKA, M.D
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 813 QUENTIN RD STE 202
    BROOKLYN, NY
    ZIP 11223
  • Phone: (718) 645-2618

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NPI Details

Jack Sadacka, M.D is an adolescent medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Jack Sadacka, M.D NPI is 1356424915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

813 QUENTIN RD STE 202
BROOKLYN, NY
ZIP 11223-220
Phone: (718) 645-2618
Fax: (718) 645-2641

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine231797NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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