MRS. JORDAN DELYNN PENDLETON


Address: 176 Palisade Ave, Jersey City, NJ 07306-1121
Phone: 2017958200

MRS. JORDAN DELYNN PENDLETON (NPI# 1104468651) 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) 1104468651
Entity Type Individual
Full Name MRS. JORDAN DELYNN PENDLETON
Practice Address 176 Palisade Ave
Jersey City
NJ 07306-1121
Practice Telephone 2017958200
Mailing Telephone 2017958200
Enumeration Date 2019-10-16
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 25MP00558600 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 176 PALISADE AVE
City JERSEY CITY
State NJ
Zip Code 07306-1121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689673923 Virginia Marie Witt Family Medicine 176 Palisade Ave, Jersey City, NJ 07306-1121 2005-07-19
1639778301 Alimata Sore Ouedraogo Psychiatry & Neurology 176 Palisade Ave, Jersey City, NJ 07306 2020-10-22
1205452299 Amardeep Singh Chharan Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2020-06-25
1629694740 Raza Ahmed Zia Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2020-06-24
1790309086 Andrew Haroun Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2020-06-02
1346864733 Gene Chulyoung Yoo Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1196 2020-06-02
1821658402 Birju V Amin Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2019-06-17
1710545959 Simone Gabrielle Rubin Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2019-06-03
1275190993 Polyxeni Gudis Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1196 2019-05-29
1356909014 Sana Riaz Student in an Organized Health Care Education/Training Program 176 Palisade Ave, Jersey City, NJ 07306-1121 2019-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225655186 Hazem Shokry Mohamed Abdelhafez Physical Therapist 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 2020-06-26
1407498223 Shweta Sitaram Shenoy Physical Therapist 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 2019-10-14
1932679909 Morgan Teeratananon Occupational Therapist 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 2018-12-03
1255824892 Best Home Care Inc Home Health 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 2018-06-08
1518455203 New Jersey Weight Loss & Surgery PC Surgery 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 2018-04-27
1225546922 Chungmoo Huh Acupuncturist 720 Bergen Ave, Jersey City, NJ 07306 2018-01-16
1215451042 Walgreen Co Durable Medical Equipment & Medical Supplies 2859 61 Kennedy Blvd, Jersey City, NJ 07306 2017-08-02
1447789128 Krishna Shah Physical Therapist 43 Central Avenue, Jersey City, NJ 07306 2017-06-07
1275075749 Jersey City Home Care Home Health 780 Newark Avenue Suite #203, Jersey City, NJ 07306 2016-11-15
1356752380 Dina Ibrahim Podiatrist 550 Newark Ave Ste 307, Jersey City, NJ 07306 2014-05-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639787609 Pritya Singh Physician Assistant 100 Duncan Ave Apt 102, Jersey City, NJ 07306-6069 2020-07-16
1306484571 Mackenzie Rae Sylvester Physician Assistant 2465 Kennedy Blvd Apt 3h, Jersey City, NJ 07304-1998 2019-12-18
1114275781 Heather Sandrea Denigris Physician Assistant 15 Erie St., Apt 1, Jersey City, NJ 07302 2012-08-29
1770738569 Justin Bartolo Greges Physician Assistant 200 Christopher Columbus Dr, A3, Jersey City, NJ 07302-3483 2008-11-21
1629252358 Shaindel Amsel Physician Assistant 193 Palisade Ave, Jersey City, NJ 07306-1112 2007-12-17
1487872131 Nandanee Myneni Physician Assistant 1 Jsq Plaza, Jersey City, NJ 07306 2007-04-20
1750920609 Emily J Choi Physician Assistant 355 Grand St, Jersey City, NJ 07302-4321 2019-12-24
1679123301 Caroline Rhea Randall Physician Assistant 355 Grand St, Jersey City, NJ 07302-4321 2019-09-15
1457918450 Robert Francis Kelly Physician Assistant 377 Jersey Ave Ste 280a, Jersey City, NJ 07302-4691 2019-05-24
1659865061 Lauren Melissa Shauger Physician Assistant 355 Grand St, Jersey City, NJ 07302-4321 2018-06-19
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Competitor

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City JERSEY CITY
Zip Code 07306

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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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