CECILIA LORRAINE JORDAN (NPI# 1730323981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730323981 |
| Entity Type | Individual |
| Full Name | CECILIA LORRAINE JORDAN |
| Credential | ANP-BC |
| Practice Address |
6010 Bay Pkwy Geriatric Medicine, P.c, D/b/a Doctors On Call Brooklyn NY 11204-6079 |
| Mailing Address |
1017 Fenwood Dr Apt 3 Valley Stream NY 11580-2401 |
| Practice Telephone | 7182382100 |
| Mailing Telephone | 5162857648 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304796-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340695-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801602 | Cecilia C Jordan | Pharmacist | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2019-06-26 |
| Street Address |
6010 BAY PKWY GERIATRIC MEDICINE, P.C, D/B/A DOCTORS ON CALL |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700818499 | Sol Jay Grazi | Family Medicine | 6010 Bay Pkwy, Suite 901, Brooklyn, NY 11204-6079 | 2006-07-06 |
| 1003387192 | Tai Luong La | Physical Therapy Assistant | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2018-12-16 |
| 1679044457 | Jason Tam | Physical Therapist | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2018-12-05 |
| 1346771714 | Eden Yaghoubi | Physician Assistant | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2017-03-27 |
| 1427507771 | Northern Medical House Calls Pllc | Social Worker | 6010 Bay Pkwy, Suite 903, Brooklyn, NY 11204-6079 | 2016-09-28 |
| 1932654282 | Orthopedic Faculty Practice | Orthopaedic Surgery | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2016-08-16 |
| 1992258164 | Arthur Kharonov | Nurse Practitioner | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2016-07-25 |
| 1679934343 | Demetrios Milios | Nurse Practitioner | 6010 Bay Pkwy, Ste 901, Brooklyn, NY 11204-6081 | 2016-03-09 |
| 1619347796 | Amanda Marie Faraj | Physician Assistant | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2015-10-01 |
| 1265815542 | Efram Zuller | Nurse Practitioner | 6010 Bay Pkwy, 902, Brooklyn, NY 11204-6079 | 2015-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334100 | Yin Kong | Nurse Practitioner | 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 | 2020-10-21 |
| 1922612944 | Rosemarie Elizabeth Crosdale | Nurse Practitioner | 9019 Avenue A, Brooklyn, NY 11236-1208 | 2020-09-08 |
| 1144832247 | Marise Richard | Nurse Practitioner | 1106 E 57th St, Brooklyn, NY 11234-3312 | 2020-08-19 |
| 1487264008 | Dina Levkova | Nurse Practitioner | 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 | 2020-08-07 |
| 1972113694 | Winsome Elizabeth Benain | Nurse Practitioner | 9621 Avenue B, Brooklyn, NY 11236-1321 | 2020-08-06 |
| 1396355327 | Samuel S Wilburn | Nurse Practitioner | 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 | 2020-08-04 |
| 1710595335 | Aimee Huang | Nurse Practitioner | 96 Bay 10th St, Brooklyn, NY 11228-3702 | 2020-07-20 |
| 1700494812 | Jessica B Schwab | Nurse Practitioner | 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 | 2020-07-15 |
| 1225654916 | Leasha Lindsay | Nurse Practitioner | 1214 E 87th St, Brooklyn, NY 11236-4929 | 2020-06-18 |
| 1760002323 | Satchell-lee Tyrell | Nurse Practitioner | 537 Rogers Ave, Brooklyn, NY 11225-5445 | 2020-04-23 |
| Find all providers in BROOKLYN | ||||
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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.