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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 25MA07557800 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 6451608 | 05 |
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 |
Street Address |
90 BERGEN ST DOC 2300 |
City | NEWARK |
State | NJ |
Zip Code | 07103-2425 |
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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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 Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
Find all providers in NEWARK |
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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.