Dr. Michael R Jordan
M.D. | Pediatrics | Male
Dr. Michael R Jordan, M.D. is a Newark, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Michael R Jordan is
1200 Driving Park Ave, Newark, New York - 14513-1057. He can be contacted on phone at
315-359-2660 and fax number 315-359-2635.
Dr. Michael R Jordan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael R Jordan is
1053323469 which was assigned by NPPES on 13 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Michael R Jordan license number is
145672 for Pediatrics (208000000X) in New York.
Dr. Michael R Jordan is a pediatrician who 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.
Complete Profile:
Dr. Michael R Jordan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Michael R Jordan |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Michael R Jordan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1200 Driving Park Ave
Newark, NY, 14513-1057
United States |
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| Phone Number : | 315-359-2660 |
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| Fax Number : | 315-359-2635 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053323469 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael R Jordan are as mentioned. Primary taxonomy code for Dr. Michael R Jordan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 145672 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael R Jordan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00596429 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1200 Driving Park Ave
Newark, NY, 14513-1057
United States |
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| Phone Number : | 315-359-2660 |
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| Fax Number : | 315-359-2635 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael R Jordan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.