Sally C Jordan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

154001-1 Issued in NY

Practice address

955 Yonkers Ave Ste 100
Yonkers, NY 10704-3062

Phone

(914) 472-5140

Fax

(914) 473-5270

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prabjot Channa, Eye Physician and Surgeon PLLC

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1194964924
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1497831424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVENUE",
            "address_2": "BOX 21",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "914-472-5140",
            "fax_number": "914-472-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVE STE 100",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043062",
            "telephone_number": "914-472-5140",
            "fax_number": "914-473-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105835063",
            "country_code": "US",
            "telephone_number": "914-472-5140",
            "fax_number": "845-207-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SALLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "154001-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1540011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makeda Naomi Jones, M.D
• Oksana Stanislavivna Jones, CCC-SLP
• Skyler Jones, LMSW
• Irene Jong, MD
• Joon S. Lee DDS PC
• Carmen Mariela Jorge Rodriguez, LMSW
• Yahainese Jorle
• Jose L. Lantin, MD, PC
• Josselyn Jose
• Marisa Josefson

• Specialist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.

Verify at the official NPI Registry.