Dr Jordan Sudberg, MD is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Islandia, New York. Dr Jordan Sudberg is licensed to practice in New York (license number 272774) and his current practice location is 1717 Veterans Memorial Hwy Ste 1, Islandia, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 203-4300.
NPI number for Dr Jordan Sudberg is 1053577312 and his current mailing address is 50 E 28th St Apt 21d, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053577312.
Physician's Profile
| Full Name | Dr Jordan Sudberg |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 1717 Veterans Memorial Hwy Ste 1, Islandia, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053577312
- Provider Enumeration Date: 08/05/2008
- Last Update Date: 10/31/2024
Medical Identifiers
Medical identifiers for Dr Jordan Sudberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053577312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 272774 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Sudberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jordan Sudberg, MD
50 E 28th St Apt 21d,
New York, NY 10016-7980
Ph: (646) 239-8418 | Dr Jordan Sudberg, MD
1717 Veterans Memorial Hwy Ste 1,
Islandia, NY 11749-1532
Ph: (631) 203-4300 |
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