ANTHONY L. JORDAN HEALTH CORPORATION (NPI# 1083716088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083716088 |
| Entity Type | Organization |
| Organization Name | ANTHONY L. JORDAN HEALTH CORPORATION |
| Practice Address |
82 Holland Street Rochester NY 14605-2131 |
| Mailing Address |
82 Holland Street C/o Hr Credenting Dept. Rochester NY 14605-2131 |
| Practice Telephone | 5854235800 |
| Practice Fax Number | 5854232890 |
| Mailing Telephone | 5854232816 |
| Mailing Fax Number | 5854232853 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MONICA GRAHAM (HR CREDENTILAING SPECIALIST) |
| Authorized Official Telephone | 5854232816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NY | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2701211R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PART B | 16467A | 01 |
| NY | 00384969 | 05 | |
| NY | MEDICARE PART A | 331838 | 01 |
| NY | BLUE CROSS OF ROCHESTER | 6613 | 01 |
| NY | BLUE CHOICE OF ROCHESTER | G0187295590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174095640 | Anthony L. Jordan Health Corporation | Clinic/Center | 214 Lake Ave, Rochester, NY 14608-1208 | 2018-12-21 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| 1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
| 1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
| 1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
| 1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
| 1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
| 1750700399 | Anthony L. Jordan Health Corporation | Clinic/Center | 950 Norton St, Rochester, NY 14621-3732 | 2014-04-10 |
| 1831441534 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2012-10-05 |
| 1528317567 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland Street, Rochester, NY 14605-2131 | 2012-09-06 |
| Street Address |
82 HOLLAND STREET |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14605-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245208065 | Nashat S. Atalla | Internal Medicine | 82 Holland Street, Aljhc, Rochester, NY 14605 | 2006-03-09 |
| 1528317567 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland Street, Rochester, NY 14605-2131 | 2012-09-06 |
| 1609142587 | Melanie B. Murphy | Nurse Practitioner | 82 Holland Street, Anthony L. Jordan Health Center, Rochester, NY 14605-2131 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1578090874 | Saronna Asaunte ' Wilson | Nurse's Aide | 127 First Street Apt. 003, Rochester, NY 14605 | 2017-05-17 |
| 1215296975 | Aletha Ward Bouie | Licensed Practical Nurse | 120 Fifth Street, Rochester, NY 14605 | 2012-05-15 |
| 1598030165 | Batten for You | Home Health | 8 Vetter St., Rochester, NY 14605 | 2012-03-15 |
| 1063781219 | Andrea Silvana Escos | Physical Therapist | 173 Martin Street, Rochester, NY 14605 | 2011-12-16 |
| 1740589571 | Tammy J Beller | Speech-Language Pathologist | 690 St Paul Street Rm 321, Rochester Preschool Parent Program, Rochester, NY 14605 | 2011-03-18 |
| 1942507074 | Natalie Banks Hickman | Registered Nurse | Baden Street Settlement of Rochester, 585 Joseph Avenue, Rochester, NY 14605 | 2011-02-25 |
| 1013226489 | Robin Lynn Hill | Registered Nurse | 62 Sixth St, Rochester, NY 14605 | 2010-10-01 |
| 1154651891 | Taunya Llvertrice Johnson | Registered Nurse | 446 Alexander St, Rochester, NY 14605 | 2009-12-31 |
| 1154515799 | Gloria Jean Keitt I | Licensed Practical Nurse | 14 Weeger Street, Rochester, NY 14605 | 2007-08-28 |
| Find all providers in zip 14605 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
| 1174095640 | Anthony L. Jordan Health Corporation | Clinic/Center | 214 Lake Ave, Rochester, NY 14608-1208 | 2018-12-21 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| 1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
| 1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
| 1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
| 1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
| 1003431925 | Greater Seacoast Community Health | Clinic/Center | 63 S Main St, Rochester, NH 03867-2707 | 2020-06-16 |
| 1407331978 | Greater Seacoast Community Health | Clinic/Center | 25 Old Dover Rd, Rochester, NH 03867-3464 | 2018-10-01 |
| 1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
| Find all providers in ROCHESTER | ||||
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| 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.