Active NPI
Jo-Ann Jordan, M.D., FAAP
- Pediatrics Physician
- Red Bank, NJ
National Provider Identifier
1558358358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07405600
- Practice address
- 272 Broad St
Red Bank, NJ 07701-2003 - Phone
- (732) 741-0456
- Fax
- (732) 219-9477
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07405600 | NJ | Primary |
Addresses
Primary practice location
272 Broad St
Red Bank, NJ 07701-2003
Mailing address
272 Broad St
Red Bank, NJ 07701-2003
Phone (732) 741-0456
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07405600 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1558358358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BROAD ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012003",
"telephone_number": "732-741-0456",
"fax_number": "732-219-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 BROAD ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012003",
"telephone_number": "732-741-0456",
"fax_number": "732-219-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JO-ANN",
"name_prefix": "Dr.",
"credential": "M.D., FAAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07405600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.