MARK LOUIS JORDAN


Address: 90 Bergen St, Doc 2300, Newark, NJ 07103-2425
Phone: 9739722888

MARK LOUIS JORDAN (NPI# 1831121607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831121607
Entity Type Individual
Full Name MARK LOUIS JORDAN
Credential M.D.
Practice Address 90 Bergen St
Doc 2300
Newark
NJ 07103-2425
Mailing Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739722888
Practice Fax Number 9739722892
Enumeration Date 2006-07-06
Last Update Date 2009-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 25MA07557800 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6451608 05

Other Providers MARK JORDAN

NPI Name Taxonomy Address Enumeration
1760938310 Mark Jordan Pharmacist 5719 Us 23, Oscoda, MI 48750 2016-09-01
1326459892 Mark Jordan Case Manager/Care Coordinator 300 Hartford Dr, Lancaster, OH 43130-1571 2014-05-18
1568801025 Mark Allen Jordan Orthopaedic Surgery 9600 Gross Point Rd Ste 2900, Skokie, IL 60076-1214 2013-06-18
1881772309 Mark Vernon Jordan Internal Medicine 12801 W Wyndridge Ct Apt 203, New Berlin, WI 53151-8799 2006-11-01
1013478338 Mark Austin Jordan Behavior Technician 29174 Sw Town Center Loop W Ste 101, Wilsonville, OR 97070-9309 2019-03-28
1619212966 Mark Franklin Jordan Dentist 6120 Paseo Del Norte, K1, Carlsbad, CA 92011-1150 2012-11-27
1063748085 Mark Jordan Pharmacist 2400 S Avenue A, Yrmc Pharmacy Department, Yuma, AZ 85364-7127 2009-10-27
1740374461 Mark Jordan Psychologist 2701 W 68th Street, Chicago, IL 60629 2006-10-03
1902901937 Mark Saunders Jordan Specialist 117 E Kings Hwy, Eden, NC 27288-5201 2006-09-14
1770521080 Mark Jordan Internal Medicine 2546 Balltown Rd, Suite 300, Schenectady, NY 12309-1079 2006-06-02

Office Location

Street Address 90 BERGEN ST
DOC 2300
City NEWARK
State NJ
Zip Code 07103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623074 Karen Virginia Valdez-gonzalez Genetic Counselor, MS 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 2005-10-14
1134758816 Elizabeth Elaine Ginalis Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2020-04-05
1003462854 University Surgical Associates (om) Transplant Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-16
1528614021 Special LLC Plastic Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-12
1265993216 Sean Michael Munier Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-30
1629539861 Ali Tayebi Meybodi Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-29
1497214282 Brandon Khoa Nguyen Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-19
1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
1740716703 Elena Solli Student in an Organized Health Care Education/Training Program 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 2017-05-11
1881120954 Ivo Bach Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1407029051 Ronaldo L. Domingo Md Pa Urology 620 Christiana Medical Ctr, Newark, DE 19702-1656 2008-04-03
1679633374 Peter J Muench Md Pa Urology H50 Omega Drive, Newark, DE 19713 2006-12-11
1972617314 Donald J Lewis Urology 1902 Tamarack Rd, Newark, OH 43055 2006-08-19
1457312597 William Alvin Stallworth Urology 1272 W Main St Ste 401, Newark, OH 43055-2056 2006-03-29
1427023639 Peter J Muench Urology H 50 Omega Drive, Newark, DE 19713 2006-02-21
1023375011 Benjamin Jon Nelson Urology 1202 Driving Park Ave, Newark, NY 14513 2012-04-16
1255613576 Branford Medical Group, PC Urology 23 Branford Pl, Newark, NJ 07102-2711 2011-09-13
1427361005 Newark-wayne Urology Pllc Urology 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 2010-07-23
1164675955 Rochester General Hospital Urology 1202 Driving Park Ave, Newark, NY 14513-1057 2008-10-24
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City NEWARK
Zip Code 07103

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Dataset Information

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.

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