Organization Active NPI

JKL Medical Associates PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1407058878
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
112574 Issued in NY
Legal business name
JKL MEDICAL ASSOCIATES PC
Practice address
1987 Utica Ave
Brooklyn, NY 11234-3215
Phone
(718) 629-5590
Fax
(718) 629-2833
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Ackerman
Title
Ceo
Phone
(718) 629-5590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 112574 NY Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 140146 NY

Addresses

Primary practice location

1987 Utica Ave
Brooklyn, NY 11234-3215

Mailing address

1987 Utica Ave
Brooklyn, NY 11234-3215
Phone (718) 629-5590

National Provider Directory

National Provider Directory

Locations

69 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 629-5590

1987 Utica Ave
Brooklyn, NY 11234
Phone (718) 629-5590

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407058878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343215",
            "telephone_number": "718-629-5590",
            "fax_number": "718-629-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343215",
            "telephone_number": "718-629-5590",
            "fax_number": "718-629-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-629-5590"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112574",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "140146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.