Jordan Brady Pavia, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

352711 Issued in NY

Practice address

213 Madison Ave # 1a
New York, NY 10016-3814

Phone

(212) 725-0123

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1790560811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MADISON AVE # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163814",
            "telephone_number": "212-725-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MADISON AVE # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163814",
            "telephone_number": "212-725-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIA",
        "first_name": "JORDAN",
        "middle_name": "BRADY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "352711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pavell
• Anthony Pavella
• Flaminio Pavesi
• Edith R Pavez, LMSW
• Jennifer Corina Pavia
• Jovana Pavisic, M.D.
• Pantelis Parissis Pavlakis
• Alina Pavlakos, PHD
• Sophia Pavlatos, PMHNP
• Anna Pavlick, DO

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.