Jordan B Kosterich DC PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

X012930 Issued in NY

Legal business name

JORDAN B KOSTERICH DC PLLC

Practice address

5 North Ave
New Rochelle, NY 10805-3505

Phone

(914) 636-4113

Fax

(914) 636-7839

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Benjamin Kosterich, D.C.NPI 1538609425

Title

Doctor

Phone

(914) 636-4113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Jordan Benjamin Kosterich, DC

  • Chiropractor
  • New Rochelle, NY
  • NPI 1538609425
  Medicare reassignment NPD Authorized official
• Steven E Kosterich

  • Chiropractor
  • New Rochelle, NY
  • NPI 1346316171
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1639601982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053505",
            "telephone_number": "914-636-4113",
            "fax_number": "914-636-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053505",
            "telephone_number": "914-636-4113",
            "fax_number": "914-636-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN B KOSTERICH DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "KOSTERICH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-636-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "X012930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonishia A Johnson
• Mark R Johnston, MD
• Vera Jokic, MD
• Dawn V Jones Todd, M.S.
• Natika Love Jones, MSED
• Daphne Jordan-Joseph, CDN
• Michele Helaine Jorge
• Jose R Martinez Licensed Mental Health Counselor
• Joseph a.Tamagna DDS PC
• Joseph E. Casino MD PC

• Exclusive Provider Organization in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.