DR. JACK JEDWAB M.D.
NPI 1427188879
Urology - Pediatric Urology in Brooklyn, NY

Q: What is Jack Jedwab's NPI number?

The NPI number for Jack Jedwab is 1427188879. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Jack Jedwab's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Jack Jedwab was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment

2270 KIMBALL ST, SUITE 214, BROOKLYN, NY 11234(718) 377-7575(718) 377-8566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Jedwab M.d. NPPES

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

DR. JACK JEDWAB M.D. (NPI 1427188879) is an individual pediatric urology provider in Brooklyn, New York, licensed in New York (139976) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1427188879

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. JACK JEDWABCredential: M.D.

Location Address2270 KIMBALL ST, SUITE 214Brooklyn, NY 11234-5139

Mailing Address2270 Kimball St, Suite 214Brooklyn, NY 11234-5139 · (718) 377-7575 · Fax (718) 377-8566

Phone(718) 377-7575

Fax(718) 377-8566

Sole ProprietorYes

Medical School CMSOtherGraduated 1974

Enumeration DateMarch 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427188879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in NY · 139976

Definition

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).

2270 KIMBALL ST, Brooklyn, NY 11234

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Other Identifiers 3

Medicaid00495565NY

Medicare UPINB11976NY

Medicare ID-Type Unspecified27A801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Jedwab M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860659406

PECOS Enrollment IDI20120208001067

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

173 services146 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

171 services145 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

161 services135 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

159 services138 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

150 services119 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier16 claims1,920 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers20 claims2,370 services$1.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JING ZHAO DDS

Dentist (Pediatric Dentistry)

2270 KIMBALL ST, SUITE 202
BROOKLYN, NY 11234

Kings County (718) 253-0888

DR. STEVEN IRA SIMON M.D.

Dermatology

2270 KIMBALL ST, SUITE 201
BROOKLYN, NY 11234

Kings County (718) 253-4550

DR. ALFREDO C. ROQUE M.D.

Radiology (Diagnostic Radiology)

2270 KIMBALL ST, SUITE 102
BROOKLYN, NY 11234

Kings County (718) 253-6616

JACK JEDWAB MD PC

Urology

2270 KIMBALL ST
BROOKLYN, NY 11234

Kings County (718) 377-7575

YAFIT AZIZIAN P.A.

Physician Assistant (Medical)

2270 KIMBALL ST, SUITE NUMBER 201
BROOKLYN, NY 11234

Kings County (718) 253-4550

STEPHEN PETER RAND MD

Allergy & Immunology

2270 KIMBALL ST, STW 206
BROOKLYN, NY 11234

Kings County (718) 377-0011

DR. RICHARD L. OSHRAIN D.M.D.

Dentist (Periodontics)

2270 KIMBALL ST, SUITE 211
BROOKLYN, NY 11234

Kings County (718) 253-3300

DR. RICHARD STEINBERG M.D.

Radiology (Diagnostic Radiology)

2270 KIMBALL ST, STE 102
BROOKLYN, NY 11234

Kings County (718) 253-6616

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's NPI number?

The NPI number for Jack Jedwab is 1427188879. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jack Jedwab located?

Jack Jedwab practices at 2270 Kimball St Suite 214, Brooklyn, NY 11234. The listed phone number is (718) 377-7575.

What is Jack Jedwab's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jack Jedwab enrolled in Medicare?

Yes. Jack Jedwab is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Jedwab was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.