What is Michael Jordan's NPI number?

Michael Jordan's National Provider Identifier (NPI) is 1053323469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Jordan's specialty?

Michael Jordan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Michael Jordan located?

Michael Jordan's practice location on file with NPPES is 1200 Driving Park Ave, Newark, NY 14513-1057.

What is Michael Jordan's phone number?

The practice phone number listed in the NPPES registry for Michael Jordan is (315) 359-2660.

Is Michael Jordan's NPI active?

Yes — Michael Jordan's NPI (1053323469) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Michael Jordan, M.D.

NPI 1053323469 · Pediatrics Physician · Newark, NY

Michael Jordan, M.D. is a Pediatrics Physician provider in Newark, NY (NPI 1053323469).

Provider details

NPI number: 1053323469
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 145672 (NY)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 145672 (NY)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1200 Driving Park Ave

Newark, NY 14513-1057

Phone: (315) 359-2660

Fax: (315) 359-2635

Street-level locationGet directions

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Mailing address