Jordan Healthcare Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JORDAN HEALTHCARE CENTER

Practice address

322 Lake Ave Ste 1
Rochester, NY 14608-1162

Phone

(585) 254-6480

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Vladimir Taub, FNPNPI 1992250997

Title

Nurse Practitioner

Phone

(917) 716-5479

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Taub

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1992250997
  NPD (past) Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1396197158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 POND VIEW HTS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121350",
            "telephone_number": "917-716-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081162",
            "telephone_number": "585-254-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "917-716-5479",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Martin Jones, LMSW
• Tya Jones
• Tyfanni Rasheda Jones, MA
• Zelma P Jones, RN
• Srinivas Jonnala, MD
• Andrew Marshall Jordan, MD
• Bryan Bernard Jordan, MD
• Jessica Jordan, LCSW
• Lisa Marie Jordan
• Lois Jordan

• Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.