Jack Jedwab MD PC
NPI 1194096404 · Urology Physician · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Jedwab MD PC is a Urology Physician organization in Brooklyn, NY (NPI 1194096404).
Provider details
- NPI number
- 1194096404
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Jedwab, President(718) 377-7575
- License
- 139976 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-01-18
- Last updated
- 2012-01-18
Frequently asked questions
- What is Jack Jedwab MD PC's NPI number?
- Jack Jedwab MD PC's National Provider Identifier (NPI) is 1194096404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Jedwab MD PC?
- Jack Jedwab MD PC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Jedwab MD PC located?
- Jack Jedwab MD PC's practice location on file with NPPES is 2270 Kimball St, Brooklyn, NY 11234-5139.
- What is Jack Jedwab MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jack Jedwab MD PC is (718) 377-7575.
- Does Jack Jedwab MD PC accept Medicare?
- Jack Jedwab MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack Jedwab MD PC?
- The authorized official listed on Jack Jedwab MD PC's NPPES record is Jack Jedwab, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Jedwab MD PC's NPI active?
- Yes — Jack Jedwab MD PC's NPI (1194096404) is active in the NPPES registry as of the last update on 2012-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.