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Contact Information

NICOLE JORDAN, MD
7600 RIVER RD
NORTH BERGEN, NJ07047-6217
 Phone: 201-854-5005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICOLE JORDAN · (Female)

NPI # 1013304989
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2015
Last updated 10/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA10437000
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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