Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Michael R Jordan, M.D.
Pediatrics Physician in Newark, NY · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053323469
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Registry record
Entity type Individual (Type 1)
Name Dr. Michael R Jordan
Credential M.D.
Sex Male
Practice address 1200 Driving Park Ave, Newark, NY, 14513
Phone (315) 359-2660
Fax (315) 359-2635
Enumeration date Aug 13, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00596429 | Medicaid | NY | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1053323469 active?
Yes, as of the latest NPPES snapshot, NPI 1053323469 is active (record last updated 2007-07-08).
How do I verify Michael Jordan's NPI record?
Cross-check NPI 1053323469 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Lawrence Chessin Infectious Disease Physician · Newark, NY NPI 1396741898 Wade Brandt Family Nurse Practitioner · Newark, NY NPI 1629070297 Kenneth Toner Surgery Physician · Newark, NY NPI 1841263100 Grace Candelario Hospitalist Physician · Newark, NY NPI 1144253725 Lynn Brazee Family Nurse Practitioner · Newark, NY NPI 1720004328 Jeffrey Klempen Emergency Medicine Physician · Newark, NY NPI 1457366247 Steven Galutia Pediatrics Physician · Newark, NY NPI 1235140021 Caryl Bjorseth Pediatrics Physician · Newark, NY NPI 1306857297
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.