MR. MATTHEW JOHN JORDAN (NPI# 1194070516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194070516 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JOHN JORDAN |
| Credential | PA |
| Practice Address |
7819 18th Ave Ste A Brooklyn NY 11214-1729 |
| Practice Telephone | 7182360700 |
| Practice Fax Number | 7182322625 |
| Mailing Telephone | 7182360700 |
| Mailing Fax Number | 7182322625 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 015551 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672418 | Matthew David Jordan | Marriage & Family Therapist | 2025 N Akron Ave, Lubbock, TX 79415-1118 | 2007-05-22 |
| 1942202189 | Matthew S Jordan | Dentist | 26 E Main St, Lexington, OH 44904-1223 | 2005-06-01 |
| 1811468903 | Matthew Jordan | Technician | 2700 E. Sunset Rd., #17 Bldg B, Las Vegas, NV 89120-3508 | 2018-12-16 |
| 1497282545 | Matthew R Jordan | Pharmacist | 3458 Neely Road, Jb Mdl, NJ 08060 | 2017-05-20 |
| 1417317009 | Matthew Robert Jordan | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-02-25 |
| 1578971453 | Matthew Jordan | Pharmacist | 1502 N Liberty Lake Rd, Liberty Lake, WA 99019-8631 | 2014-07-23 |
| 1821355959 | Matthew Peter Jordan | Anesthesiology | 1 Medical Center Drive, Morgantown, WV 26506-8255 | 2012-04-13 |
| 1972892867 | Matthew Douglas Jordan | Internal Medicine | 8200 Walnut Hill Ln Ste 830, Dallas, TX 75231-4426 | 2011-03-31 |
| 1811217797 | Matthew Emerson Jordan | Orthopaedic Surgery | 601 Rockmead Dr, Kingwood, TX 77339-2107 | 2010-06-02 |
| 1639374507 | Matthew P. Jordan | Internal Medicine | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-06-19 |
| Street Address |
7819 18TH AVE STE A |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11214-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763440 | Safe Reach Pt P.C. | Physical Therapist | 331 Bay 14th Street, Fl.#1, Brooklyn, NY 11214 | 2020-06-04 |
| 1891325353 | Mahmoud Ali | Physical Therapist | 96 28th Avenue 3rd Floor, Brooklyn, NY 11214 | 2020-01-23 |
| 1407370489 | Georgette Neglia | Counselor | 195 Bay 19th Street, Brooklyn, NY 11214 | 2017-08-01 |
| 1063936151 | Ummat Pharmacy Inc | Pharmacy | 8719 18th Avenue, Brooklyn, NY 11214 | 2017-07-31 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1063934909 | Edita Greben | Speech-Language Pathologist | 8823 23rd Avenue, 3rd Floor, Brooklyn, NY 11214 | 2017-07-12 |
| 1649791104 | Rachel Sandler | Religious Nonmedical Nursing Personnel | 79- 20th Avenue, Brooklyn, NY 11214 | 2017-07-05 |
| 1003343849 | Catholic Charities Brooklyn and Queens | Case Management | 190 Bay Street, Brooklyn, NY 11214 | 2017-05-11 |
| 1447785316 | Four Season Medical Pllc | Internal Medicine | 2044 86th Street, Brooklyn, NY 11214 | 2017-04-27 |
| 1134669716 | Uhealthy Pharmacy Inc. | Pharmacy | 2263 86th Street, Brooklyn, NY 11214 | 2017-03-02 |
| Find all providers in zip 11214 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| 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.