Active NPI
Denis J Jordan
- Music Therapist
- Jamaica, NY
National Provider Identifier
1871196402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 14483
- Practice address
- 17900 Linden Blvd
Jamaica, NY 11434-1468 - Phone
- (718) 526-1000
- NPI assigned
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 14483 | PA | Primary |
Addresses
Primary practice location
17900 Linden Blvd
Jamaica, NY 11434-1468
Mailing address
18915 37TH Ave
Auburndale, NY 11358-2495
Phone (718) 614-9415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024 | Other | NY | LICENSED CREATIVE ARTS THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dennis.jordan1@va.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14483 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1871196402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18915 37TH AVE",
"city": "AUBURNDALE",
"state": "NY",
"postal_code": "113582495",
"telephone_number": "718-614-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341468",
"telephone_number": "718-526-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DENIS",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "14483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CREATIVE ARTS THERAPIST",
"identifier": "1024",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dennis.jordan1@va.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "17900 Linden Blvd",
"city": "Jamaica",
"state": "NY",
"country_code": "US",
"postal_code": "114341468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.