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Individual provider Active NPI

Jordan Fakhoury

  • Orthopaedic Surgery of the Spine Physician
  • Plainview, NY
National Provider Identifier
1740712470
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
324430-01 Issued in NY
Practice address
651 Old Country Rd
Plainview, NY 11803-4938
Phone
(516) 681-8822
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 324430-01 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Plainview, NY 11803-4938

Mailing address

651 Old Country Rd
Plainview, NY 11803-4938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829003089 NY Practitioner - Orthopedic Surgery 2062756240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Central Orthopedic Group L L PGroup PAC ID 3375432362, 23 clinicians

Practice addresses (Care Compare)

5840 Merrick Rd
Massapequa, NY 11758-6225
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

77 N Centre Ave
Suite 210
Rockville Centre, NY 11570-3923
Phone (516) 681-8822

Hospital & facility affiliations

  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion159
Laminectomy or laminotomy (partial removal of spine bones)71
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
324430-01NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Sep 5, 2023 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Sep 5, 2023 Accepting new patients
The Central Orthopedic Group L L P Past Accepting new patients

Locations

5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

651 Old Country Rd
Ste 200
Plainview, NY 11803
Phone (516) 681-8822

77 N Centre Ave
Ste 210
Rockville Centre, NY 11570
Phone (516) 681-8822

Interoperability endpoints

  • Direct secure messaging: jordan.fakhoury@983.chartlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1740712470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938",
            "telephone_number": "516-681-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "324430-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.