Jordan Garrison MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04279600 Issued in NJ

Legal business name

JORDAN GARRISON MD

Practice address

147 Columbia Tpke
Ste 308
Florham Park, NJ 07932-2113

Phone

(973) 437-8021

Fax

(973) 410-0057

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Jordan Garrison, MDNPI 1780756999

Title

Pwner

Phone

(973) 437-8021

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jordan M Garrison, MD

  • Surgery Physician
  • Jersey City, NJ
  • NPI 1780756999
  NPD Authorized official

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1093970147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE",
            "address_2": "STE 308",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322113",
            "telephone_number": "973-437-8021",
            "fax_number": "973-410-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE",
            "address_2": "STE 308",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322113",
            "telephone_number": "973-437-8021",
            "fax_number": "973-410-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN GARRISON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PWNER",
        "authorized_official_telephone_number": "973-437-8021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04279600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Tony Tan Jiang, M.D.
• Jillian Marie Esposito
• John a Carollo DMD PA
• Jointcare Physical Therapy,LLC
• Jordan Garrison MD LLC
• Jordan Steinberg D.P.M. LLC
• Joseph Peter Fodero MD PA
• Joseph Peter Fodero MD PA
• John L Junior, M.D.

• Specialist in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.