Jack Jedwab MD PC
NPI 1194096404ActiveOrganization· Urology· Brooklyn, NY
Urology in Brooklyn, New York, registered in NPPES in January 2012. The authorized official on file is Jack Jedwab, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194096404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2012 |
| Last updated in NPPES | Jan 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 139976 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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