Individual provider Active NPI

Jordan Collier, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1376861740
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
274046 Issued in NY
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

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231017001251 PA Practitioner - Internal Medicine 5092942870 Reassigns benefits to 1 organization
I20250711001900 MA Practitioner - Internal Medicine 5092942870 Reassigns benefits to 1 organization

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
Sound Physicians of Massachusetts IncGroup PAC ID 2062554637, 69 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Montgomery Subacute and Respiratory Center Nursing home, Plymouth Meeting, PA, CCN 395847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150540CAMDMarriage & Family Therapist
53218COMDInternal Medicine Physician
52328CTMDInternal Medicine Physician
17405HIMDInternal Medicine Physician
MD481908PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Apr 4, 2025 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Apr 4, 2025 Accepting new patients
Mercer Bucks Medical Associates, P.C. Internal Medicine CurrentSince Aug 14, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.