Active NPI
Jordan Collier, MD
- Internal Medicine Physician
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 274046
- Practice address
- 543 Main St
Apt 400
New Rochelle, NY 10801-7260 - Phone
- (718) 644-3723
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 53218 | CO | |
| Internal Medicine Physician | 207R00000X | 274046 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 52328 | CT | |
| Internal Medicine Physician | 207R00000X | 150540 | CA | |
| Internal Medicine Physician | 207R00000X | MD481908 | PA | |
| Internal Medicine Physician | 207R00000X | 17405 | HI |
Addresses
Primary practice location
543 Main St
Apt 400
New Rochelle, NY 10801-7260
Mailing address
543 Main St
Apt 400
New Rochelle, NY 10801
Phone (718) 644-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
- Signature Healthcare Brockton Hospital
- Brigham and Women'S Hospital
- Montgomery Subacute and Respiratory Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150540 | CA | MD | Marriage & Family Therapist |
| 53218 | CO | MD | Internal Medicine Physician |
| 52328 | CT | MD | Internal Medicine Physician |
| 17405 | HI | MD | Internal Medicine Physician |
| MD481908 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Mercer Bucks Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| 1700 Pine Street Operations LLC | Past | Accepting new patients | |
| Montgomery SNF Operator LLC | Past | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400
1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900
1700 Pine St
Norristown, PA 19401
Phone (610) 237-7100
251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- jcollier259424@nychhc.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1952485971
-
- Internal Medicine Physician
- North Adams, MA
- NPI 1205164951
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Skilled Nursing Facility
- Norristown, PA
- NPI 1851573174
-
- Skilled Nursing Facility
- Plymouth Meeting, PA
- NPI 1952029126
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Skilled Nursing Facility
- Plymouth Meeting, PA
- NPI 1952029126
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1376861740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 MAIN ST",
"address_2": "APT 400",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "718-644-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 MAIN ST",
"address_2": "APT 400",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017260",
"telephone_number": "718-644-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "53218",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "274046",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "52328",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "150540",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD481908",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "17405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.