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DR. KELVIN KARIBO JACK M.D
NPI 1659332708
Obstetrics & Gynecology - Gynecology in Brooklyn, NY

Active since March 29, 2006PECOS Enrolled
407 ROCKAWAY AVE FL 3, BROOKLYN, NY 11212(718) 644-0961 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2019, Sep 21, 2019 (2 updates tracked since 2019).

About Dr. Kelvin Karibo Jack M.d NPPES

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

DR. KELVIN KARIBO JACK M.D (NPI 1659332708) is an individual gynecology provider in Brooklyn, New York, licensed in New York (272090) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659332708
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. KELVIN KARIBO JACKCredential: M.D
Location Address407 ROCKAWAY AVE FL 3Brooklyn, NY 11212-5635
Mailing Address3225 Fenton AveBronx, NY 10469-2801 · (718) 644-0961
Phone(718) 644-0961
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1659332708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 272090
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
407 ROCKAWAY AVE FL 3, Brooklyn, NY 11212
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Other Identifiers 1

Other1316289853NY · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelvin Karibo Jack M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

KBJ MEDICAL PRACTICE PC
Obstetrics & Gynecology (Gynecology)
407 ROCKAWAY AVE FL 3
BROOKLYN, NY 11212
Kings County (718) 644-0961
MS. RIVKA FISCHER RN, FNP, ARNP
Nurse Practitioner (Family)
407 ROCKAWAY AVE FL 3
BROOKLYN, NY 11212
Kings County (347) 362-1589

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 Kelvin Jack's NPI number?

The NPI number for Kelvin Jack is 1659332708. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Kelvin Jack located?

Kelvin Jack practices at 407 Rockaway Ave Fl 3, Brooklyn, NY 11212. The listed phone number is (718) 644-0961.

What is Kelvin Jack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kelvin Jack enrolled in Medicare?

Yes. Kelvin Jack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelvin Jack was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.