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
Credential :M.D.
Gender :Male
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
Phone Number :315-359-2660
Fax Number :315-359-2635
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
NPI Entity Type : Individual
First Enrolment Date : 13 Aug, 2006
Last Updated On : 08 Jul, 2007
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes145672NY
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael R Jordan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00596429MEDICAIDNY
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
Phone Number :315-359-2660
Fax Number :315-359-2635
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.