Jordan Sudberg MD P.C.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

272774 Issued in NY

Legal business name

JORDAN SUDBERG MD P.C.

Practice address

1717 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1532

Phone

(646) 239-8418

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Sudberg, M.D

Title

President

Phone

(646) 239-8418

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1285033662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 28TH ST APT 21D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167980",
            "telephone_number": "646-239-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 VETERANS MEMORIAL HWY STE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491532",
            "telephone_number": "646-239-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN SUDBERG MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "SUDBERG",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-239-8418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "272774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margareth Jean-Fils, PTA
• Jennifer Brent LCSW PC
• Jigna Desai Jhaveri, M.D.
• Muneeb Mohammad Jilani, PHARM.D.
• Melissa Jockers
• Jte Enterprises, Inc. (Lindys Taxi)
• Katherine Kaelin, NP-C
• Eduard Kagan, MD
• Nidhi Kala, PT
• Kao Consulting, LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Islandia, NY
• Providers in Islandia, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.