Jordan D Metzl MD PC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

210811 Issued in NY

Legal business name

JORDAN D METZL MD PC

Practice address

519 E 72ND St
RM 206
New York, NY 10021-4028

Phone

(212) 606-1678

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Jordan D Metzl, MDNPI 1972566495

Title

President

Phone

(212) 606-1678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jordan D Metzl MD PC

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1093345456

  3779848106

  Same PAC ID

Tax ID family

Jordan D Metzl MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jordan D Metzl MD PC

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1093345456
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan D Metzl, M.D.

  • Pediatric Sports Medicine Physician
  • New York, NY
  • NPI 1972566495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1891063491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-606-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST",
            "address_2": "RM 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-606-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN D METZL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "METZL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-606-1678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "210811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan a. Conrad, L.C.S.W., P.C.
• Mary V Jordan Arnette
• Jordan B Smith M D P C
• Jordan C. Stern M.D.P.C.
• Jordan D Metzl MD PC
• Jordan Dann, Psychoanalyst, P.C.
• Jordan Keys DO,PLLC
• Jordan S. Josephson, M.D. P.C.
• Alexander Mario Jordan
• Amie D Jordan, OTR/L, CBIS

• Sports Medicine (Internal Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.