Individual provider Active NPI

Jordan Christopher Iordanou, MD/PHD

  • Neurological Surgery Physician
  • Huntington, NY
National Provider Identifier
1396107710
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
289788 Issued in NY
Practice address
110 E Main St
Huntington, NY 11743-2845
Phone
(631) 802-6469
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 289788 NY Primary
Neurological Surgery Physician 207T00000X V0766 TX
Student in an Organized Health Care Education/Training Program 390200000X 125073300 IL

Addresses

Primary practice location

110 E Main St
Huntington, NY 11743-2845

Mailing address

110 E Main St Ste 4
Huntington, NY 11743-2845

Other practice location 1

5303 Harry Hines Blvd Fl 7
Dallas, TX 75390-7208
Phone (214) 645-2300

Other practice location 2

2160 S 1st Ave
Maywood, IL 60153
Phone (888) 584-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240925004727 TX Practitioner - Neurosurgery 9335680644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289788NYMDNeurological Surgery Physician
125073300ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 15, 2024 Accepting new patients
Spine Care Medical Long Island PC Neurological Surgery CurrentSince Sep 14, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 15, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

4277 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 731-5100

110 E Main St
Ste 4
Huntington, NY 11743
Phone (516) 760-8455

110 E Main St
Huntington, NY 11743
Phone (631) 427-6411

5303 Harry Hines Blvd
Fl 4
Dallas, TX 75390

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5184 Tex Oak Ave
Dallas, TX 75235
Phone (214) 590-6120

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: jiordanou94204@direct.luhs.org

Organizations & group practices 5

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1396107710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST STE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432845",
            "telephone_number": "631-802-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 Harry Hines Blvd Fl 7",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907208",
            "country_code": "US",
            "telephone_number": "214-645-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "888-584-7888",
            "fax_number": "888-584-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IORDANOU",
        "first_name": "JORDAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "289788",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "V0766",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125073300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.