Individual provider Active NPI

Noah James Jordan, PT, DPT

  • Physical Therapist
  • Kendall Park, NJ
National Provider Identifier
1245045012
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02317700 Issued in NJ
Practice address
3110 State Route 27 Ste 1B
Kendall Park, NJ 08824-1627
Phone
(732) 712-2090
Fax
(732) 712-2091
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0015047 DE
Physical Therapist 225100000X 40QA02317700 NJ Primary

Addresses

Primary practice location

3110 State Route 27 Ste 1B
Kendall Park, NJ 08824-1627

Mailing address

19 Lewis St
Hillsborough, NJ 08844-1150
Phone (908) 420-2892

Other practice location 1

540 S College Ave Ste 160
Newark, DE 19713-1302
Phone (302) 831-8893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001001 DE Practitioner - Physical Therapist in Private Practice 9234657263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

540 S College Ave
Suite 160
Newark, DE 19713-1302
Phone (302) 831-8893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02317700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC CurrentSince Apr 3, 2025 Accepting new patients
Ud Health LLC Physical Therapist Current Accepting new patients
Ud Health LLC CurrentSince Apr 3, 2025 Accepting new patients
Kessler Institute for Rehabilitation Inc PastSince Feb 23, 2025 Accepting new patients

Locations

625 S College Ave
Ste 135
Newark, DE 19716

100 Discovery Blvd
Ste 727
Newark, DE 19713

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: noah.jordan.p1@direct.udel.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1245045012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEWIS ST",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441150",
            "telephone_number": "908-420-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 STATE ROUTE 27 STE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241627",
            "telephone_number": "732-712-2090",
            "fax_number": "732-712-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 S College Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197131302",
            "country_code": "US",
            "telephone_number": "302-831-8893",
            "fax_number": "302-831-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NOAH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02317700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.