Jordan D Metzl MD PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JORDAN D METZL MD PC

Practice address

519 E 72ND St Ste 206
New York, NY 10021-4028

Phone

(212) 606-1678

Fax

(212) 774-2370

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Jordan D Metzl, MDNPI 1972566495

Title

President

Phone

(212) 606-1678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jordan D Metzl MD PC

  • Sports Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1891063491

  3779848106

  Same PAC ID

Tax ID family

Jordan D Metzl MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jordan D Metzl MD PC

  • Sports Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1891063491
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan D Metzl, M.D.

  • Pediatric Sports Medicine Physician
  • New York, NY
  • NPI 1972566495
  NPD Authorized official

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1093345456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-606-1678",
            "fax_number": "212-774-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST STE 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-606-1678",
            "fax_number": "212-774-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN D METZL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "METZL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-606-1678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joonsung Lee Physical Therapy, P.C.
• Jordan a. Conrad, L.C.S.W., P.C.
• Mary V Jordan Arnette
• Jordan B Smith M D P C
• Jordan C. Stern M.D.P.C.
• Jordan D Metzl MD PC
• Jordan Dann, Psychoanalyst, P.C.
• Jordan Keys DO,PLLC
• Jordan S. Josephson, M.D. P.C.
• Alexander Mario Jordan

• Durable Medical Equipment & Medical Supplies in New York, NY
• Providers in New York, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.