Jack Fatiha MD PC
NPI 1770596975 · Health Service Clinic/Center · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Fatiha MD PC is a Health Service Clinic/Center organization in Brooklyn, NY (NPI 1770596975).
Provider details
- NPI number
- 1770596975
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Fatiha, Owner(718) 336-0100
- License
- 229099 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- 1st Family Care
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2013-01-14
Frequently asked questions
- What is Jack Fatiha MD PC's NPI number?
- Jack Fatiha MD PC's National Provider Identifier (NPI) is 1770596975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Fatiha MD PC?
- Jack Fatiha MD PC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack Fatiha MD PC located?
- Jack Fatiha MD PC's practice location on file with NPPES is 709 Avenue U, Brooklyn, NY 11223-4133.
- What is Jack Fatiha MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jack Fatiha MD PC is (718) 336-0100.
- Does Jack Fatiha MD PC accept Medicare?
- Jack Fatiha 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 Fatiha MD PC?
- The authorized official listed on Jack Fatiha MD PC's NPPES record is Jack Fatiha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Fatiha MD PC's NPI active?
- Yes — Jack Fatiha MD PC's NPI (1770596975) is active in the NPPES registry as of the last update on 2013-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.