Active NPI
Jordan Denas, PHARM.D.
- Pharmacist
- New Hyde Park, NY
National Provider Identifier
1548089675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064867
- Practice address
- 1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016 - Phone
- (646) 287-8415
- NPI assigned
- Oct 7, 2024
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064867 | NY | Primary |
Addresses
Primary practice location
1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016
Mailing address
269 Lincoln Blvd
Merrick, NY 11566-4712
Phone (646) 287-8415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064867 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1548089675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 LINCOLN BLVD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664712",
"telephone_number": "646-287-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE STE 118",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421016",
"telephone_number": "646-287-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENAS",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.