- Practice location
- 90 Bergen St, Doc 2300, Newark, NJ 07103-2425
- Phone
- 973-972-2888
- Fax
- 973-972-2892
- Last updated
- August 21, 2009
Mark Louis Jordan is an Urology based in Newark, NJ. Mark Louis Jordan practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Mark Louis Jordan is 1831121607 and holds a License No. 25MA07557800 (NJ). The current practice location address for Mark Louis Jordan is 90 Bergen St, Doc 2300, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2888 and via fax at 973-972-2892.
Provider Profile Details
- NPI Number
- 1831121607
- Provider Name
- Mark Louis Jordan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Bergen St, Doc 2300, Newark, NJ 07103-2425
- Phone Number
- 973-972-2888
- Fax Number
- 973-972-2892
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- August 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Doc 2300
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-2888
- Fax Number
- 973-972-2892
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number
- 25MA07557800
- License State
- NJ
- Taxonomy
- Urology · 208800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Urology providers near Newark, NJ
View all Urology providers in Newark →Frequently Asked Questions
What is the NPI number of Mark L Jordan, MD?
The NPI number of Mark L Jordan, MD is 1831121607. It was assigned on July 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark L Jordan, MD?
Mark L Jordan, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in NJ under license number 25MA07557800.
Where does Mark L Jordan, MD practice?
The practice location is 90 Bergen St, Doc 2300, Newark, NJ 07103-2425. The office can be reached at 973-972-2888 (phone) or 973-972-2892 (fax).
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 1831121607 directly on the NPPES registry website.