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DR. BEVERLY JORDAN MD FAAP NPI 1558326330


NPI Information

NPI: 1558326330
Provider Name: DR. BEVERLY JORDAN, MD, FAAP
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
760 BROADWAY
WOODHULL HOSPITAL DEPARTMENT OF PEDIATRICS
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-7956
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DR. Beverly Jordan, MD, FAAP is a pediatrics in Brooklyn, NY. The provider is a pediatrician 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. DR. Beverly Jordan, MD, FAAP NPI is 1558326330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

760 BROADWAY
WOODHULL HOSPITAL DEPARTMENT OF PEDIATRICS
BROOKLYN, NY
ZIP 11206-317
Phone: (718) 963-7956
Fax: (718) 963-7957

The NPI 1558326330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics054577GEORGIANo
2208000000XPediatrics281964NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1301530833MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.