NICOLE JORDAN (NPI# 1013304989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013304989 |
| Entity Type | Individual |
| Full Name | NICOLE JORDAN |
| Credential | M.D. |
| Practice Address |
7600 River Rd North Bergen NJ 07047-6217 |
| Mailing Address |
Po Box 4126 Torrance CA 90510-4126 |
| Practice Telephone | 2018545005 |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2018-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA10437000 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996413 | Nicole Jordan | Social Worker | 388 Evans St Fl 1, Buffalo, NY 14221-5626 | 2016-12-10 |
| 1154863702 | Nicole Jordan | Licensed Practical Nurse | 478 Lexington Ave, Rochester, NY 14613-1943 | 2016-11-14 |
| 1770933095 | Nicole M Jordan | Counselor | 410 E Grandview Ave # A-2, Zelienople, PA 16063-1211 | 2016-06-17 |
| 1093157661 | Nicole Jordan | Counselor | 8 Shore Dr, Canton, MA 02021-2652 | 2013-07-24 |
| 1588158794 | Nicole Jordan | Assistant Behavior Analyst | 6976 Professional Pkwy E, Lakewood Ranch, FL 34240 | 2018-06-20 |
| 1306358015 | Nicole C Jordan | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1801342423 | Nicole Jordan | Audiologist-Hearing Aid Fitter | 2452 Watson Ct, #1700, Palo Alto, CA 94303 | 2016-09-01 |
| 1528438769 | Nicole Michelle Jordan | Social Worker | 1350 41st Ave, Suite 201, Capitola, CA 95010-3906 | 2015-09-30 |
| 1215288162 | Nicole Elizabeth Jordan | Speech-Language Pathologist | 104 Stampede St, Newcastle, WY 82701-3037 | 2012-10-01 |
| 1720374713 | Nicole Elizabeth Jordan | Nurse Practitioner | 83 Columbia St, Orlando, FL 32806-1106 | 2011-06-28 |
| Street Address |
7600 RIVER RD |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994338 | Palisades General Care Inc | Skilled Nursing Facility | 7600 River Rd, North Bergen, NJ 07047-6217 | 2005-06-30 |
| 1538778337 | Alexandria Lee Decena Ang | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-07-28 |
| 1619595659 | Dr Dina Ibrahim Foot & Ankle Surgery LLC | Podiatrist | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-07-07 |
| 1114555216 | Neenu Antony | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1801424098 | Elizabeth Aziz | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1659909414 | Ahmad Izzat Al-awwa | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-29 |
| 1043847056 | Vinh Ngoc Pham | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-27 |
| 1619504859 | Jacob J Chevlen | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1912534983 | Zachary Raphael Teibel | Clinic/Center | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1851928071 | Sanaz Mohammadzadeh | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184064347 | Tanmay Pradip Gosalia | Internal Medicine | 9225 John F Kennedy Boulevard, Summit Medical Arts, North Bergen, NJ 07047 | 2013-07-02 |
| 1265788053 | Ivan David Winter | Internal Medicine | 9226 Kennedy Blvd Fl 2, North Bergen, NJ 07047-5312 | 2012-07-30 |
| 1528188604 | Elsayed Sahloul Md PC | Internal Medicine | 500 78th St, 2nd Fl, North Bergen, NJ 07047-4927 | 2007-03-30 |
| 1598832016 | Eduardo Montes | Internal Medicine | 8701 Bergenline Ave, North Bergen, NJ 07047-5252 | 2006-11-29 |
| 1982785085 | Maher Badri | Internal Medicine | 8915 Bergenwood Ave, Suite # 3, North Bergen, NJ 07047-5349 | 2006-10-17 |
| 1770693566 | Munir A Hasan | Internal Medicine | 7617 Kennedy Boulevard, North Bergen, NJ 07047-4024 | 2006-08-30 |
| 1558475087 | Palisades Medical Associates LLC | Internal Medicine | 6045 Kennedy Blvd, Pma, North Bergen, NJ 07047-3246 | 2006-08-19 |
| 1891741344 | Surender M Rastogi | Internal Medicine | 8306 Kennedy Blvd, North Bergen, NJ 07047-4264 | 2006-05-26 |
| 1417947748 | Dennis Hughes Kelly IIi | Internal Medicine | 7704 Marine Rd, North Bergen, NJ 07047-6203 | 2005-10-27 |
| 1750371290 | Mark S Gabelman | Internal Medicine | 1 Marine Plz, Suite 210, North Bergen, NJ 07047-6238 | 2005-10-26 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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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.