JACK SADACKA (NPI# 1356424915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356424915 |
| Entity Type | Individual |
| Full Name | JACK SADACKA |
| Credential | M.D |
| Practice Address |
813 Quentin Rd Ste 202 Brooklyn NY 11223-2220 |
| Mailing Address |
2317 Avenue R Brooklyn NY 11229-2427 |
| Practice Telephone | 7186452618 |
| Practice Fax Number | 7186452641 |
| Mailing Telephone | 7183364737 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
231797 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4802 10th Ave, Brooklyn, NY 112192916 | 7182838399 |
| Street Address |
813 QUENTIN RD STE 202 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1184269755 | Core Physical Therapy Services PC | Physical Therapist | 2003 Coney Island Ave, Brooklyn, NY 11223 | 2019-11-07 |
| 1558903658 | Solar Health Physical Therapy and Acupuncture P.C. | Acupuncturist | 339 Kings Highway, Brooklyn, NY 11223 | 2019-10-10 |
| 1356810543 | Victorian Aznar | Physical Therapist | 1750 W 9th St, Brooklyn, NY 11223 | 2018-11-16 |
| 1669990149 | Avraham Chaim Knobel | Social Worker | 2020 Coney Island Avenue, Brooklyn, NY 11223 | 2017-09-05 |
| 1386174373 | Orly Meyer | Occupational Therapist | 2092 E 7th St, Brooklyn, NY 11223 | 2017-06-13 |
| 1790223840 | Roshauna Joseph | Licensed Practical Nurse | 2326 West 8th Street, Brooklyn, NY 11223 | 2017-02-09 |
| 1942747142 | Ace Management Am Corp | Case Management | 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 | 2017-01-25 |
| 1518401140 | Auburn Heller | Speech-Language Pathologist | 64 Ave X, Speech Dept P721k, Brooklyn, NY 11223 | 2016-12-16 |
| Find all providers in zip 11223 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1912169392 | Gates Pediatrics PC | Pediatrics | 1532 Gates Ave, Brooklyn, NY 11237-5727 | 2008-06-27 |
| 1588790018 | Melanie A Bravo | Pediatrics | 1650 E 91st St, Brooklyn, NY 11236-5218 | 2007-02-26 |
| 1447308697 | Prudence A Osei-tutu Sr. | Pediatrics | 84 Linden Blvd, Brooklyn, NY 11226-3301 | 2007-01-06 |
| 1114084399 | Ada Ruderman | Pediatrics | 1208 Avenue Z, Brooklyn, NY 11235-4302 | 2007-01-03 |
| 1962560615 | Marie France Conde | Pediatrics | 350 Ocean Ave, Brooklyn, NY 11226-1362 | 2006-12-05 |
| 1497826267 | Leonore Beth Max | Pediatrics | 1103 Cortelyou Road, Brooklyn, NY 11218-5303 | 2006-11-13 |
| 1629168604 | Boris Marshalik | Pediatrics | 2966 Ocean Ave, Brooklyn, NY 11235-3202 | 2006-10-13 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.