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DR. JORDAN SUDBERG M.D
NPI 1053577312
Physical Medicine & Rehabilitation - Sports Medicine in Islandia, NY

Active since August 05, 2008
1717 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749(631) 203-4300(631) 203-4305 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jordan Sudberg M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN SUDBERG M.D (NPI 1053577312) is an individual sports medicine provider in Islandia, New York, licensed in New York (272774) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1053577312
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. JORDAN SUDBERGCredential: M.D
Location Address1717 VETERANS MEMORIAL HWY STE 1Islandia, NY 11749-1532
Mailing Address50 E 28th St Apt 21dNew York, NY 10016-7980 · (646) 239-8418
Phone(631) 203-4300
Fax(631) 203-4305
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1053577312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in NY · 272774
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1717 VETERANS MEMORIAL HWY STE 1, Islandia, NY 11749
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID-SUFFOLK CHIROPRACTIC P.C.
Chiropractor
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749
Suffolk County (631) 203-4300
JORDAN SUDBERG MD P.C.
Physical Medicine & Rehabilitation (Pain Medicine)
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749
Suffolk County (646) 239-8418
1717 MEDICAL PC
Physical Medicine & Rehabilitation (Sports Medicine)
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749
Suffolk County (631) 203-4300
ALISON DE LOS SANTOS
Massage Therapist
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749
Suffolk County (631) 203-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Sudberg's NPI number?

The NPI number for Jordan Sudberg is 1053577312. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Jordan Sudberg located?

Jordan Sudberg practices at 1717 Veterans Memorial Hwy Ste 1, Islandia, NY 11749. The listed phone number is (631) 203-4300.

What is Jordan Sudberg's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Jordan Sudberg was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.