NPIMap

Organization Active NPI

Anthony L. Jordan Health Corporation

Doing business as Jordan Health at Franklin

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
National Provider Identifier
1750700399
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2701211R Issued in NY
Legal business name
ANTHONY L. JORDAN HEALTH CORPORATION
Doing business as
Jordan Health at Franklin
Practice address
950 Norton St
Rochester, NY 14621-3732
Phone
(585) 324-3750
NPI assigned
Apr 10, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTHONY L. JORDAN HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Monica Graham
Title
Credentialing
Phone
(585) 423-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2701211R NY Primary

Addresses

Primary practice location

950 Norton St
Rochester, NY 14621-3732

Mailing address

82 Holland St
Attn: HR
Rochester, NY 14605-2131
Phone (585) 423-2816

Other names 1

  • Jordan Health at Franklin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519001335 NY Part B Supplier - Clinic/Group Practice 8729079785 Receives reassigned benefits from 49 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY; Canandaigua, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750700399. Details of each certification follow.

  • CCN 331114 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 331114

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JORDAN HEALTH AT FRANKLIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 16, 2014
Last certification
Jul 16, 2014
Ownership / control type
For profit – corporation
Facility address
950 Norton Street
Rochester, NY 14621

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Jordan Health Pharmacy

Locations

214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1750700399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HOLLAND ST",
            "address_2": "ATTN: HR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052131",
            "telephone_number": "585-423-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NORTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213732",
            "telephone_number": "585-324-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY L. JORDAN HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTHONY L. JORDAN HEALTH CORPORATION",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "585-423-2816"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2701211R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Health at Franklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.