Peter Alexander Jordan, MD
Individual provider Active NPI Pediatrics Physician · Foxborough, MA
NPI 1922748466 · NPPES record last updated Jun 16, 2025
Key facts
- NPI
- 1922748466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 1022076 (MA)
- Practice address
- 132 Central St Ste 116
Foxborough, MA 02035-2422 - Phone
- (508) 543-6306
- Fax
- (508) 543-2976
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003001436 | MA | Order and Referring Only - Pediatric Medicine |
0749666576 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022076 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Foxborough and Wrentham | Pediatrics | Current |
Accepting new patients |
Locations
132 Central St
Ste 116
Foxborough, MA 02035
Phone (508) 543-6306
155 South St
Wrentham, MA 02093
Phone (617) 504-1537
Interoperability endpoints
- jordan.peter.pfw@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1022076 | MA | Yes |
Addresses
Primary practice location
132 Central St Ste 116
Foxborough, MA 02035-2422
Mailing address
132 Central St Ste 116
Foxborough, MA 02035-2422
Phone (508) 543-6306
Other providers in Foxborough, MA
- IHS of Massachusetts, LLC
- Ilb Dental PLLC
- Jackson Speech & Language Services
- Cale Jacobs
- Meredith Lynn Jones
- Laerta Kamberi
- Henry Martin Karshis Jr.
- Autumn J Kempf
- Matthew Kirkpatrick
- Abenaa Kobi Ampem
All providers in Foxborough, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.