Beverly Jordan is a Pediatrics in Brooklyn, New York. Beverly Jordan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Beverly Jordan is 1558326330. The last update date is 2015-10-21.
Beverly Jordan's current location address is 760 Broadway, Brooklyn, New York. You can contact this provider via phone number 7189637956 and fax number 7189637957. The mailing address for Beverly Jordan is 760 Broadway, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Jordan |
|---|---|
| Address | 760 Broadway, Brooklyn, New York |
| Phone Number | 7189637956 |
| Fax Number | 7189637957 |
| Sole Proprietor | Y |
| Credentials | MD, FAAP |
NPI Number Detail
| NPI Number | 1558326330 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2015-10-21 |
Provider Mailing Address Detail
| Address | 760 Broadway |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112065317 |
| Phone Number | 7189637956 |
| Fax Number | 7189637957 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 54577 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301530833 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beverly Jordan by the Centers for Medicare & Medicaid Services?
The Beverly Jordan has been issued the NPI (National Provider Identifier) 1558326330, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Beverly Jordan?
The Beverly Jordan is situated at 760 Broadway, in the city of Brooklyn, state of NY, with the zip code 112065317.
What is Beverly Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beverly Jordan is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Beverly Jordan receive the assignment of its 1558326330 from the Centers for Medicare & Medicaid Services?
The Beverly Jordan was issued its 1558326330 by the Centers for Medicare & Medicaid Services on 2006-04-18.
When was the information pertaining to Beverly Jordan most recently updated or revised?
The details related to Beverly Jordan, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-21.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN