Individual provider Active NPI

Jordan M Garrison, MD

  • Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1780756999
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA04279600 Issued in NJ
Practice address
17 Nardone PL
Jersey City, NJ 07306-3514
Phone
(201) 530-1900
NPI assigned
Nov 14, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Varicose vein removal196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Garrison MD Current Accepting new patients
New York Medical United PLLC Surgery CurrentSince Oct 1, 2026 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Hudson Surgical Group PC PastSince Aug 16, 2016 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

  • Direct secure messaging: jordan.garrison@direct.carepointhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.