Individual provider

Jacob Khurgin, DO

Urology Physician Medicare enrolled

Jacob Khurgin, DO is an Urology Physician in Brooklyn, NY, registered under NPI 1104053065. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4802 10TH AVE, Brooklyn, NY 11219. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4802 10TH AVE, Brooklyn, NY 11219 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
279506 NY Urology Physician primary
22805 ND Urology Physician
H0077362 MD Urology Physician

Licences are recorded in 3 states: NY, ND, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Urology
PAC ID
1254556863

Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Maryland, North Dakota and New York. The practice address on file is in Brooklyn, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MD Maryland
Licence
H0077362
Specialty
Urology Physician
Verify with the MD board →
ND North Dakota
Licence
22805
Specialty
Urology Physician
Verify with the ND board →
NY New York practice address
Licence
279506
Specialty
Urology Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208800000X Urology Physician 279506 NY primary
208800000X Urology Physician 22805 ND
208800000X Urology Physician H0077362 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104053065 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 18, 2009
Last updatedAug 22, 2025
StatusActive
Sole proprietorYes
CredentialDO
Practice address 4802 10TH AVE
Brooklyn, NY 11219
(718) 283-7634
Mailing address 160 W 97TH ST APT 5D
New York, NY 10025
This record was updated on Aug 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104053065 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 5 3 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 5 6 0 3

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104053065?
NPI 1104053065 is the National Provider Identifier assigned to Jacob Khurgin, DO in Brooklyn, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Jacob Khurgin, DO?
The phone number on file with NPPES is (718) 283-7634, last updated Aug 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jacob Khurgin, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104053065 a valid number?
Yes. 1104053065 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.