JORDAN SANTIAGO
NPI 1144080268
Physician Assistant - Medical in New Hartford, NY
About Jordan Santiago NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN SANTIAGO (NPI 1144080268) is an individual medical provider in New Hartford, New York, licensed in New York (035433) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Santiago is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HARTFORD, NY 13413
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 Santiago's NPI number?
The NPI number for Jordan Santiago is 1144080268. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Jordan Santiago located?
Jordan Santiago practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1527.
What is Jordan Santiago's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jordan Santiago enrolled in Medicare?
Yes. Jordan Santiago is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Santiago was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jordan Santiago · NPI 1144080268
Medical physician in New Hartford, New York. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1144080268 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 035433 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1729 BURRSTONE RD, New Hartford, NY 13413-1001
- **Phone:** (315) 798-1527 · **Fax:** (315) 798-1589
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144080268) · Data from the CMS NPPES public registry.