Active NPI
Jordan Andrew Justice, MD
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1497556526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3019856
- Practice address
- 820 Harrison Ave
FGH Building 4TH Floor 4404
Boston, MA 02118 - Phone
- (617) 638-6604
- NPI assigned
- Mar 24, 2025
- Last updated
- Jun 10, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3019856 | MA | Primary |
Addresses
Primary practice location
820 Harrison Ave
FGH Building 4TH Floor 4404
Boston, MA 02118
Mailing address
820 Harrison Ave
FGH Building 4TH Floor 4404
Boston, MA 02118
Phone (617) 638-6604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250522000608 | TN | Order and Referring Only - Other (Physician) | 9739608894 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jordan.justice@hca1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1497556526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 HARRISON AVE",
"address_2": "FGH BUILDING 4TH FLOOR 4404",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 HARRISON AVE",
"address_2": "FGH BUILDING 4TH FLOOR 4404",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "JORDAN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "3019856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.