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EZRA DWECK MD
NPI 1861913915
Pediatrics in Jamaica, NY

Active since June 29, 2017PECOS Enrolled
13303 JAMAICA AVE, JAMAICA, NY 11418(718) 657-7093 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2023, Oct 28, 2023, Jun 29, 2017 (3 updates tracked since 2017).

About Ezra Dweck Md NPPES

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

EZRA DWECK MD (NPI 1861913915) is an individual pediatrics provider in Jamaica, New York, licensed in New York (305787) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861913915
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEZRA DWECKCredential: MD
Location Address13303 JAMAICA AVEJamaica, NY 11418-2618
Mailing Address13303 Jamaica AveJamaica, NY 11418-2618 · (718) 657-7093
Phone(718) 657-7093
Sole ProprietorNo
Enumeration DateJune 29, 2017
Last NPPES UpdateOctober 28, 20233 updates tracked since enumeration
NPPES CertifiedOctober 28, 2023
✔ NPI 1861913915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 305787
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13303 JAMAICA AVE, Jamaica, NY 11418
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Secondary Practice Locations 2

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321
Location 227 Grandview AveWhite Plains, NY 10605-1612 · Phone (917) 828-6438

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezra Dweck Md 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Ezra Dweck reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jamaica Hospital
0.2 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Physician Affiliate Group Of New York PC
10.0 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Montefiore Medical Center
10 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Montefiore New Rochelle Hospital
19 mi
General Acute Care Hospital
100 CORPORATE DR, PROVIDER INFORMATION
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1295163244 (914) 377-4722
Boston Children's Health Physicians, LLP
26 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
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 14

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

MARINA BISSADA DO
Student in an Organized Health Care Education/Training Program
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 206-6942
MEERA KUNTAWALA
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
MS. DIANA LOUISE MALKIN-WASHEIM MPH,R.D., CDE, CD-N
Dietitian, Registered
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (516) 787-1065
LEAH PETRUCELLI
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
MRS. MARIA ISABEL HERNANDEZ NP
Nurse Practitioner (Obstetrics & Gynecology)
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 291-3276
DR. CAMERON E NIENABER M.D.
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093
DR. STACEY JOSEPHINE MARTINEZ MD
Family Medicine
13303 JAMAICA AVE
RICHMOND HILL, NY 11418
Queens County (718) 657-7093
DR. REGINALD DOUGLAS HUGHES M.D.
Family Medicine
13303 JAMAICA AVE
JAMAICA, NY 11418
Queens County (718) 657-7093

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 Ezra Dweck's NPI number?

The NPI number for Ezra Dweck is 1861913915. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Ezra Dweck located?

Ezra Dweck practices at 13303 Jamaica Ave, Jamaica, NY 11418. The listed phone number is (718) 657-7093.

What is Ezra Dweck's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ezra Dweck enrolled in Medicare?

Yes. Ezra Dweck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ezra Dweck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezra Dweck reassigns Medicare benefits to 5 organizations: Jamaica Hospital (Jamaica, NY), Physician Affiliate Group Of New York PC (New York, NY), Montefiore Medical Center (New York, NY), Montefiore New Rochelle Hospital (Yonkers, NY) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ezra Dweck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ezra Dweck was last updated on October 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.