Daniel Robert Jordan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07115000 Issued in NJ

Practice address

811 Sunset Rd
Suite 101
Burlington, NJ 08016-3645

Phone

(609) 387-9242

Fax

(609) 387-1948

NPI assigned

Oct 10, 2006

Last updated

Apr 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooper Primary Care at Pennsville, PA

  • Internal Medicine Physician
  • Pennsville, NJ
  • NPI 1801803051
  NPD
• Depersia, Chernoff & Ocasio, PC

  • Internal Medicine Physician
  • West Deptford, NJ
  • NPI 1144249350
  NPD (past)
• Dorfner Family Medicine LLC

  • Internal Medicine Physician
  • Burlington, NJ
  • NPI 1164432407
  NPD (past)
• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  NPD (past)
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1043307051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SUNSET RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163645",
            "telephone_number": "609-387-9242",
            "fax_number": "609-387-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SUNSET RD",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163645",
            "telephone_number": "609-387-9242",
            "fax_number": "609-387-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07115000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, IBC",
            "identifier": "0807554000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1124862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2464681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8351902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Renee Johnson, MSN,APN, NP-C
• Sharon Ann Johnson V, D.V.M.
• Lafutima Jones, CNA
• Tasha Jones, LPN
• Tia Jones
• Bandu Iyesata Kaifa-Mustapha, RN
• Roopama Kamra, M.D.
• Marie Kane, RPH
• Jihyun Kang, DMD
• Cerise Karmondy

• Internal Medicine Physician in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.