MICHAEL JORDAN M.D., NPI 1629493275
Preventive Medicine in SETAUKET, NY
Last Updated on : Dec 05,2014
About MICHAEL JORDAN (NPI 1629493275)
MICHAEL JORDAN is a Preventive Medicine provider in SETAUKET, United States. His medical specialization is Preventive Medicine with a focus in Aerospace Medicine.
1629493275 is NPI number of MICHAEL JORDAN.
MICHAEL JORDAN's primary taxonomy code based on NPI Lookup is 2083A0100X with license number 125543-1. This taxonomy code refers to Preventive Medicine.
MICHAEL JORDAN has more than 8 years of experience.
MICHAEL JORDAN current practice location address is 2 STONE GATE CT, SETAUKET, NY. MICHAEL JORDAN can be reached out via phone at 631-974-5018 .
You can also correspond with MICHAEL JORDAN through mail at mailing address 2 STONE GATE CT, SETAUKET, NY, United States. Mailing address contact number is 631-974-5018.
The enumeration date of MICHAEL JORDAN is 19-Feb-2014. The provider is registered as an Individual and the NPI record was last updated 9 years ago.1629493275 NPI Information
Basic NPI information of MICHAEL JORDAN (NPI 1629493275) is provided below.
| Name | MICHAEL JORDAN |
|---|---|
| National Provider Id (NPI) | 1629493275 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 2 STONE GATE CT,
SETAUKET, NY, United States |
| Practice Telephone | 631-974-5018 |
| Practice Fax Number | |
| Mailing Address | 2 STONE GATE CT ,
SETAUKET, NY, United States |
| Mailing Telephone | 631-974-5018 |
| Mailing Fax Number | |
| Enumeration Date | 19-Feb-2014 |
| Last Updated Date | 05-Dec-2014 |
MICHAEL JORDAN (NPI 1629493275) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 2083A0100X | Preventive Medicine, Aerospace Medicine | 125543-1 | NY |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
MICHAEL JORDAN (NPI 1629493275) Office Location
Office location of MICHAEL JORDAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1417014556 | DONNA ELIZABETH FRIEDMAN | Psychologist, Clinical | 175 MAIN ST,
SETAUKET, NY, United States |
01-Jan-2007 |
| 1114084050 | MICHELLE VALERIE BUTTON | Social Worker, Clinical | 348 MAIN ST,
SETAUKET, NY, United States |
02-Jan-2007 |
| 1982682266 | JEAN O LEWIS | Nurse Practitioner | 5 INTERVALE RD,
SETAUKET, NY, United States |
06-Jan-2006 |
| 1285782615 | PETER G DEPASQUALE | Social Worker | 27 BREWSTER HILL ROAD,
SETAUKET, NY, United States |
08-Jan-2007 |
| 1073662342 | SETAUKET OPTICAL | Durable Medical Equipment & Medical Supplies | 1378 ROUTE 25A,
SETAUKET, NY, United States |
09-Jan-2007 |
| 1427107960 | GLENDA GREGORY | Social Worker, Clinical | 57 CHRISTIAN AVE,
SETAUKET, NY, United States |
10-Jan-2007 |
| 1285971150 | EMILY ROSEMAN | Clinical Neuropsychologist | 179 BELLEMEADE RD,
SUITE 3 SETAUKET, NY, United States |
11-Jan-2013 |
| 1013339894 | GEORGE WALTER TYSON | Neurological Surgery | 25 HIGHWOOD RD,
SETAUKET, NY, United States |
13-Jan-2014 |
| 1447437454 | LINDA ELLEN SHERMAN | Social Worker, Clinical | 45 ROUTE 25 A,
EAST SETAUKET, NY, United States |
22-Jan-2008 |
| 1578801130 | ANDRE VILARDI | Registered Nurse | PO BOX 455,
SETAUKET, NY, United States |
16-Jan-2013 |
| 1639677859 | FRANCINE FURMAN | Licensed Practical Nurse | 3 TINKER LN,
SETAUKET, NY, United States |
23-Jan-2018 |
| 1942270202 | HARRIETTE ROVNER-FERGUSON | Social Worker, Clinical | 10 BRAEMER RD,
SETAUKET, NY, United States |
26-Jan-2006 |
| 1649325861 | ROSS SLP SERVICES PC | Day Training, Developmentally Disabled Services | 15 BUCKINGHAM MEADOW RD,
SETAUKET, NY, United States |
25-Jan-2007 |
| 1750437695 | CHRISTOPHER XIKIS | Physician Assistant | 118 S BICYCLE PATH,
SELDEN, NY, United States |
25-Jan-2007 |
| 1316093040 | DONELLE WELLS THOMSON | Social Worker, Clinical | 6 OLD FIELD RD,
SETAUKET, NY, United States |
26-Jan-2007 |
| 1255487682 | KATHRYN WRIGHT BIRZON | Speech-Language Pathologist, | 104 MOUNT GREY RD,
SETAUKET, NY, United States |
26-Jan-2007 |
| 1144376401 | KATHLEEN CHUNG | Occupational Therapist | 22 18TH ST,
SETAUKET, NY, United States |
26-Jan-2007 |
| 1316918386 | IRWIN L. SCHWARTZ | Pediatrics, Adolescent Medicine | 200 MAIN ST,
SUITE 6 SETAUKET, NY, United States |
30-Jan-2006 |
| 1811043029 | ANDREA WEISSMAN | Speech-Language Pathologist, | 111 GNARLED HOLLOW RD,
SETAUKET, NY, United States |
28-Jan-2007 |
| 1154744076 | JESSIE GOULD | Counselor | 212 SPIRAL RD,
HOLTSVILLE, NY, United States |
28-Jan-2014 |
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FAQs
Whose NPI Number is 1629493275?1629493275 is the NPI number of MICHAEL JORDAN.
What is the specialty for MICHAEL JORDAN?The Specialty of MICHAEL JORDAN is Preventive Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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