JACK JEDWAB MD PC
NPI 1194096404
Urology in Brooklyn, NY

Active since January 18, 2012
2270 KIMBALL ST, BROOKLYN, NY 11234(718) 377-7575 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Jedwab Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JEDWAB MD PC (NPI 1194096404) is a healthcare organization registered as an urology in Brooklyn, New York and active in the NPI registry since January 2012. The organization lists Jack Jedwab, President, as its authorized official.

NPPES Registry Identity

NPI1194096404
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJACK JEDWAB MD PC
Location Address2270 KIMBALL STBrooklyn, NY 11234-5139
Mailing Address2270 Kimball StBrooklyn, NY 11234-5139 · (718) 377-7575
Organization SubpartNo
Authorized OfficialJack JedwabPresident · (718) 377-7575
Enumeration DateJanuary 18, 2012
NPI 1194096404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 139976
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2270 KIMBALL ST, Brooklyn, NY 11234

Other Identifiers 1

Medicare PIN27A801NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
2270 KIMBALL ST, SUITE 202
BROOKLYN, NY 11234
Dermatology
2270 KIMBALL ST, SUITE 201
BROOKLYN, NY 11234
Radiology (Diagnostic Radiology)
2270 KIMBALL ST, SUITE 102
BROOKLYN, NY 11234
Physician Assistant (Medical)
2270 KIMBALL ST, SUITE NUMBER 201
BROOKLYN, NY 11234
Allergy & Immunology
2270 KIMBALL ST, STW 206
BROOKLYN, NY 11234
Dentist (Periodontics)
2270 KIMBALL ST, SUITE 211
BROOKLYN, NY 11234
Radiology (Diagnostic Radiology)
2270 KIMBALL ST, STE 102
BROOKLYN, NY 11234
Urology (Pediatric Urology)
2270 KIMBALL ST, SUITE 214
BROOKLYN, NY 11234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Jedwab MD PC's NPI number?

The NPI number for Jack Jedwab MD PC is 1194096404. It was assigned to this organization in the NPPES registry on January 18, 2012.

Where is Jack Jedwab MD PC located?

Jack Jedwab MD PC is located at 2270 Kimball St, Brooklyn, NY 11234. The listed phone number is (718) 377-7575.

What is Jack Jedwab MD PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jack Jedwab MD PC was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.