Active NPI
Jordan M Garrison, MD
- Surgery Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA04279600
- Practice address
- 17 Nardone PL
Jersey City, NJ 07306-3514 - Phone
- (201) 530-1900
- NPI assigned
- Nov 14, 2006
- Last updated
- Aug 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA04279600 | NJ | Primary |
Addresses
Primary practice location
17 Nardone PL
Jersey City, NJ 07306-3514
Mailing address
PO Box 640
Belleville, NJ 07109-0640
Phone (973) 759-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210105002920 | NY | Practitioner - General Surgery | 8123020195 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Cunningham Dr
West Orange, NJ 07052-2236
45 Carey Ave
Suite 101
Butler, NJ 07405-1475
7125 Orchard Lake Rd
Suite 316
West Bloomfield, MI 48322-3629
9891 Orchard Ridge CT
Holly, MI 48442-8232
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 196 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Garrison MD | Current | Accepting new patients | |
| New York Medical United PLLC | Surgery | Current | Accepting new patients |
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Hudson Surgical Group PC | Past | Accepting new patients | |
| MVC Az | Surgery | Past | Accepting new patients |
| MVC CT | Surgery | Past | Accepting new patients |
| General Vascular Surgical Associates PA | Past | Accepting new patients | |
| Pottstown Clinic Company LLC | Surgery | Past | Accepting new patients |
| MVC PA PLLC | Surgery | Past | Accepting new patients |
| Garden State Healthcare Associates, LLC | Past | Accepting new patients |
Locations
15702 Crossbay Blvd
Ste 205
Howard Beach, NY 11414
9836 Queens Blvd
Ste 401
Rego Park, NY 11374
Interoperability endpoints
- jordan.garrison@direct.carepointhealth.org
- jordan.garrison@direct.christhospital.md
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Florham Park, NJ
- NPI 1093970147
-
- Surgery Physician
- Florham Park, NJ
- NPI 1942452461
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Rego Park, NY
- NPI 1265121693
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Vascular Surgery Physician
- Newark, NJ
- NPI 1578620068
-
- Vascular Surgery Physician
- Jersey City, NJ
- NPI 1285605667
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1780756999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071090640",
"telephone_number": "973-759-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 NARDONE PL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063514",
"telephone_number": "201-530-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JORDAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA04279600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.