Active NPI
Sally C Jordan, MD
- Specialist
- Scarsdale, NY
National Provider Identifier
1063534907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SALLY C JORDAN, MD
- Practice address
- 700 Post Rd
Scarsdale, NY 10583-5063 - Phone
- (914) 472-5141
- Fax
- (845) 207-9378
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Coumba Sam
- Title
- Billling Manger
- Phone
- (914) 588-9862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
700 Post Rd
Scarsdale, NY 10583-5063
Mailing address
700 Post Rd
Scarsdale, NY 10583-5063
Phone (914) 472-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154001-1 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198627200000",
"number": "1063534907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 POST RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835063",
"telephone_number": "914-472-5141",
"fax_number": "845-207-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 POST RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835063",
"telephone_number": "914-472-5141",
"fax_number": "845-207-9378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALLY C JORDAN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2007-12-26",
"status": "A",
"authorized_official_last_name": "SAM",
"authorized_official_first_name": "COUMBA",
"authorized_official_title_or_position": "BILLLING MANGER",
"authorized_official_telephone_number": "914-588-9862",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "154001-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.