Healthcare Provider Details

I. General information

NPI: 1548232861
Provider Name (Legal Business Name): JED BART CUTLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE E BUILDING 6TH FLOOR
BROOKLYN NY
11203-2057
US

IV. Provider business mailing address

102 PIERREPONT ST APT #1
BROOKLYN NY
11201-2760
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-3496
  • Fax: 718-245-3061
Mailing address:
  • Phone: 718-596-5065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number209283
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number209283
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number209283
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: