JACK KASSAB DDS
NPI 1760473888
Dentist in Brooklyn, NY

Q: What is Jack Kassab's NPI number?

The NPI number for Jack Kassab is 1760473888. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is Jack Kassab's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Kassab 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 October 31, 2005PECOS Enrolled

1176 LIBERTY AVE, BROOKLYN, NY 11208(718) 827-6001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Jack Kassab Dds NPPES

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

JACK KASSAB DDS (NPI 1760473888) is an individual dentist in Brooklyn, New York, licensed in New York (049782) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760473888

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACK KASSABCredential: DDS

Location Address1176 LIBERTY AVEBrooklyn, NY 11208-3309

Mailing Address1176 Liberty AveBrooklyn, NY 11208-3309 · (718) 827-6001

Phone(718) 827-6001

Sole ProprietorNo

Enumeration DateOctober 31, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760473888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 049782

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1176 LIBERTY AVE, Brooklyn, NY 11208

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Kassab Dds 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 11208 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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.

DR. MICHELLE H GURFINKEL DDS

Dentist

1176 LIBERTY AVE
BROOKLYN, NY 11208

Kings County (718) 827-6001

DR. JAHANGIR IRYAMI

Dentist (General Practice)

1176 LIBERTY AVE, 2FL
BROOKLYN, NY 11208

Kings County (718) 827-6001

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 Kassab's NPI number?

The NPI number for Jack Kassab is 1760473888. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Jack Kassab located?

Jack Kassab practices at 1176 Liberty Ave, Brooklyn, NY 11208. The listed phone number is (718) 827-6001.

What is Jack Kassab's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jack Kassab enrolled in Medicare?

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

What insurance does Jack Kassab accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jack Kassab as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Kassab 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.