Active NPIIndividual provider

Dr. Jordan R Taylor, OD

Optometrist in South Plainfield, New Jersey

NPI Number1104659390
Practice location
906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080-5127
Fax
—
Last updated
August 22, 2024

Jordan Robert Taylor is an Optometrist based in South Plainfield, NJ. Jordan Robert Taylor practices in South Plainfield, NJ and has the professional credentials of OD. The NPI Number for Jordan Robert Taylor is 1104659390 and holds a License No. 27OA00731400 (NJ). The current practice location address for Jordan Robert Taylor is 906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080-5127 and can be reached out via phone at 908-222-8700.

Provider Profile Details

NPI Number
1104659390
Provider Name
Jordan Robert Taylor
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080-5127
Phone Number
908-222-8700
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2024
Last Update Date
August 22, 2024
Certification Date
August 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
906 Oak Tree Ave Ste 1
South Plainfield, NJ 07080-5127
Zip
07080-5127
Phone Number
908-222-8700
South Plainfield, NJ 07080Get directions →

Provider Business Mailing Address Details

Address
515 Middlesex Ave
Colonia, NJ 07067-3216
City
Colonia
State
NJ
Zip
07067-3216
Phone Number
717-222-9637

License Information

License Number
27OA00731400
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jordan R Taylor, OD?

The NPI number of Dr. Jordan R Taylor, OD is 1104659390. It was assigned on August 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Jordan R Taylor, OD?

Dr. Jordan R Taylor, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00731400.

Where does Dr. Jordan R Taylor, OD practice?

The practice location is 906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080-5127. The office can be reached at 908-222-8700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104659390 directly on the NPPES registry website.

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