DR. JACK JEDWAB (NPI# 1427188879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427188879 |
| Entity Type | Individual |
| Full Name | DR. JACK JEDWAB |
| Credential | M.D. |
| Practice Address |
2270 Kimball St Suite 214 Brooklyn NY 11234-5139 |
| Practice Telephone | 7183777575 |
| Practice Fax Number | 7183778566 |
| Mailing Telephone | 7183777575 |
| Mailing Fax Number | 7183778566 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
139976 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00495565 | 05 |
| Street Address |
2270 KIMBALL ST SUITE 214 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329472 | Steven Ira Simon | Dermatology | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2005-07-11 |
| 1194096404 | Jack Jedwab Md PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2012-01-18 |
| 1124333612 | Jing Zhao | Dentist | 2270 Kimball St, Suite 202, Brooklyn, NY 11234-5139 | 2010-08-10 |
| 1245568062 | Yafit Azizian | Physician Assistant | 2270 Kimball St, Suite Number 201, Brooklyn, NY 11234-5139 | 2009-12-07 |
| 1922247592 | Brooklyn Integrated Medical Associates PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2009-02-05 |
| 1922274182 | Atlantic Dermatologic Associates, LLP | Specialist | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2008-05-07 |
| 1609076173 | Finestone & Wertentheil Mds PC | Ophthalmology | 2270 Kimball St, Suite 207, Brooklyn, NY 11234-5139 | 2007-07-23 |
| 1033327796 | Traube Marush & Plawes M D P C | Internal Medicine | 2270 Kimball St, Suite 210, Brooklyn, NY 11234-5139 | 2007-05-18 |
| 1669697793 | Alan Lawrence Rubin | Psychiatry & Neurology | 2270 Kimball St, Suite 206, Brooklyn, NY 11234-5139 | 2007-04-16 |
| 1447397476 | Israel D Geisler | Technician/Technologist | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| 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). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346531654 | Southern Tier Urology Clinic | Urology | 3359 Laurie Brook Dr, Binghamton, NY 13903-3153 | 2011-04-21 |
| 1194027755 | Ig Medical P.c | Urology | 570 W 204th St Apt 1j, New York, NY 10034-4011 | 2010-12-02 |
| 1871885087 | Julia Beth Finkelstein | Urology | 3959 Broadway, New York, NY 10032-1559 | 2011-05-05 |
| 1114219656 | Jennifer E. Reifsnyder | Urology | 1999 Marcus Ave Ste M18, New Hyde Park, NY 11042-1023 | 2011-05-03 |
| 1558651398 | Bradley Andrew Morganstern | Urology | 1999 Marcus Ave Ste M18, New Hyde Park, NY 11042-1023 | 2011-04-13 |
| 1477850147 | Beer & Beer Md Pllc | Urology | 711 Troy Schenectady Rd, Suite 119, Latham, NY 12110-2442 | 2011-02-16 |
| 1639317043 | North Shore Medical Group of Mt Sinai School of Medicine | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2009-01-23 |
| 1821244724 | Ardavan Akhavan | Urology | 525 E 68th St, Box 94, Rm F931, New York, NY 10065-4870 | 2008-08-11 |
| 1821264946 | Matthew D Mason | Urology | 750 E Adams St, Upstate Medical University - Department of Urology, Syracuse, NY 13210-2306 | 2008-05-08 |
| 1518157445 | Bijal Shah Modi | Urology | 381 Park Ave S, Suite 1020, New York, NY 10016-8806 | 2007-07-26 |
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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.