Adam Edward Jordan, MB, BCH, BAO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

43 New Scotland Ave
Dept. of Pediatric, Mail Code: 102
Albany, NY 12208

Phone

(518) 262-5626

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: ajordan25867@albanymed.direct-ci.com

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1649959560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK ST APT 1-4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071613",
            "telephone_number": "518-606-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "DEPT. OF PEDIATRIC, MAIL CODE: 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ADAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MB, BCH, BAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie B Jones, M.D.
• Stephen Paul Jones, NP
• William Seaborn Jones, DMD
• Usha Jonnalagadda, DMD
• Jacqueline Elizabeth Jordan-Tello, R.N.
• Catherine A Jordan, RN
• Francis Robert Jordan Jr., M.D.
• Heather Jordan, RN
• Kellie Jordan, OTR
• Mackenna Jordan, PT, DPT

• Student in an Organized Health Care Education/Training Program in Albany, NY
• Providers in Albany, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.