DR. MICHAEL R JORDAN


Address: 1200 Driving Park Ave, Newark, NY 14513-1057
Phone: 3153592660

DR. MICHAEL R JORDAN (NPI# 1053323469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053323469
Entity Type Individual
Full Name DR. MICHAEL R JORDAN
Credential M.D.
Practice Address 1200 Driving Park Ave
Newark
NY 14513-1057
Practice Telephone 3153592660
Practice Fax Number 3153592635
Mailing Telephone 3153592660
Mailing Fax Number 3153592635
Enumeration Date 2006-08-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 145672 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00596429 05

Other Providers MICHAEL JORDAN

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1861889776 Michael Andrew Jordan Ophthalmology 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 2015-04-17
1629493275 Michael Jordan Preventive Medicine 2 Stone Gate Ct, Setauket, NY 11733-1346 2014-02-19
1134469448 Michael Jack Jordan Counselor 1418 Lindale Ave, Norman, OK 73069-4423 2013-02-22
1598971723 Michael Wayne Jordan Psychiatry & Neurology 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 2007-05-15
1932283025 Michael Thomas Jordan Physician Assistant Seminole Blvd, St. Petersburg, FL 33744 2006-10-25
1588755862 Michael Arthur Jordan Optometrist 3063 Dauphin St, Mobile, AL 36606-4040 2006-09-28
1205816840 Michael Couzens Jordan Pediatrics 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 2006-01-19
1104470848 Michael Jordan Pharmacist 1485 Harrison Blvd, Ogden, UT 84404-6093 2019-07-31
1376103986 Michael K Jordan Behavior Technician 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 2019-06-17
1699244418 Michael D Jordan Case Manager/Care Coordinator 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 2018-11-21

Office Location

Street Address 1200 DRIVING PARK AVE
City NEWARK
State NY
Zip Code 14513-1057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741898 Lawrence N. Chessin Internal Medicine 1200 Driving Park Ave, Newark, NY 14513-1057 2005-06-21
1477162725 Aidan Sullivan Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-23
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
1780222604 Erin Hart Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1861030785 Lauren Conaty Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1255978540 Andrea Lorene Ide Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-05
1326682618 Thomas William Jackson Mspt Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-10-30
1578113189 Natalie A Davidson Nurse Practitioner 1200 Driving Park Ave, Newark, NY 14513 2019-09-16
1164076659 Meritt F Rogers Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-08-01
1992366744 Allison Marie Triou Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578084448 Valerie Louissaint Pediatrics 240 Osborne Ter, Newark, NJ 07112-2130 2017-06-30
1396129912 Madheea Siddiqi Pediatrics 185 S Orange Ave # 972-6015, Newark, NJ 07103-2757 2015-07-14
1124433024 Priyanka Vakati Pediatrics 4755 Ogletown Stanton Rd Dept Of, Newark, DE 19718-2200 2014-06-30
1588920854 Stephanie J Lempel Pediatrics 185 South Orange Avenue - F603, Newark, NJ 07103 2012-04-11
1427360577 Rula Nassar Pediatrics 4755 Ogletown - Stanton Rd, Map Suite 217, Newark, DE 19713 2010-07-06
1235450883 Jimisha Patel Pediatrics 1864 Tamarack Road, Newark, OH 43055 2010-06-17
1235463548 First State Pediatrics, LLC Pediatrics 210 Christiana Medical Ctr, Newark, DE 19702-1652 2009-09-21
1528224615 Juan Gadea Pediatrics 179 W Chestnut Hill Rd Ste 6, Newark, DE 19713-2210 2008-07-29
1821269630 Chandra Gupta Pediatrics 156 Roseville Avenue, Newark, NJ 07107 2008-03-19
1669676219 Justin M. D'antuono Pediatrics 1400 Peoples Plaza, Suite 300, Newark, DE 19702-5708 2007-06-14
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 14513

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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