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JACK SADACKA M.D
NPI 1356424915
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since October 24, 2006
813 QUENTIN RD STE 202, BROOKLYN, NY 11223(718) 645-2618(718) 645-2641 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Sadacka M.d NPPES

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

JACK SADACKA M.D (NPI 1356424915) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (231797) and active in the NPI registry since October 2006. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1356424915
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameJACK SADACKACredential: M.D
Location Address813 QUENTIN RD STE 202Brooklyn, NY 11223-2220
Mailing Address2317 Avenue RBrooklyn, NY 11229-2427 · (718) 336-4737
Phone(718) 645-2618
Fax(718) 645-2641
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 29, 2019
✔ NPI 1356424915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 231797
Definition
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.
813 QUENTIN RD STE 202, Brooklyn, NY 11223
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Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 283-8399

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 Sadacka's NPI number?

The NPI number for Jack Sadacka is 1356424915. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jack Sadacka located?

Jack Sadacka practices at 813 Quentin Rd Ste 202, Brooklyn, NY 11223. The listed phone number is (718) 645-2618.

What is Jack Sadacka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jack Sadacka was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.