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DR. JACK JEDWAB M.D. NPI 1427188879


NPI Information

NPI: 1427188879
Provider Name: DR. JACK JEDWAB, M.D.
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

PECOS Registration: Yes

Address:
2270 KIMBALL ST
SUITE 214
BROOKLYN, NY
ZIP 11234
Phone: (718) 377-7575
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DR. Jack Jedwab, M.D. is a pediatric urology urology in Brooklyn, NY with 50 years of experience. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). DR. Jack Jedwab, M.D. NPI is 1427188879. 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:

2270 KIMBALL ST
SUITE 214
BROOKLYN, NY
ZIP 11234-139
Phone: (718) 377-7575
Fax: (718) 377-8566

The NPI 1427188879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound of rectum (HCPCS:76872)

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric Urology139976NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100495565MEDICAIDNEW YORK
2B11976MEDICARE UPINNEW YORK
327A801MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.