Michael R Jordan is a Pediatrics in Newark, New York. Michael R Jordan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michael R Jordan is 1053323469. The last update date is 2007-07-08.
Michael R Jordan's current location address is 1200 Driving Park Ave, Newark, New York. You can contact this provider via phone number 3153592660 and fax number 3153592635. The mailing address for Michael R Jordan is 1200 Driving Park Ave, Newark, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Jordan |
|---|---|
| Address | 1200 Driving Park Ave, Newark, New York |
| Phone Number | 3153592660 |
| Fax Number | 3153592635 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053323469 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 Driving Park Ave |
|---|---|
| City | Newark |
| State | New York (NY) |
| Post Code | 145131057 |
| Phone Number | 3153592660 |
| Fax Number | 3153592635 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 145672 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 596429 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael R Jordan by the Centers for Medicare & Medicaid Services?
The Michael R Jordan has been issued the NPI (National Provider Identifier) 1053323469. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael R Jordan is physically located?
The Michael R Jordan is physically situated at the following address: 1200 Driving Park Ave, Newark, NY, 145131057.
What is Michael R Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael R Jordan is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Michael R Jordan receive the assignment of its 1053323469 from the Centers for Medicare & Medicaid Services?
The Michael R Jordan was issued its 1053323469 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the Michael R Jordan's details last updated?
The information pertaining to the Michael R Jordan, including its address, specialty, and other details, was most recently updated on 2007-07-08.