Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Leon Khurgin, DO

Individual provider Urology Physician · NPI 1104053065

Dr. Jacob Leon Khurgin, DO is an Urology in Brooklyn, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2009, 17 years ago. Practices with Reid Physician Associates Inc, a 423-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, North Dakota and New York.

Years since qualifying
17
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
MD, ND, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-7634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 32nd Ave S, Fargo, ND 58103-6132 — (701) 364-8900

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 279506 (NY)
Urology Physician Taxonomy 208800000X · Licence 22805 (ND)
Urology Physician Taxonomy 208800000X · Licence H0077362 (MD)

Record details

NPI number1104053065
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 18, 2009
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2009 (17 years in practice)
Group practice Reid Physician Associates Inc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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