DR. SALLY C JORDAN M.D.
NPI 1497831424
Specialist in Yonkers, NY

Active since October 31, 2006PECOS Enrolled
955 YONKERS AVE STE 100, YONKERS, NY 10704(914) 472-5140(914) 473-5270 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sally C Jordan M.d. NPPES

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

DR. SALLY C JORDAN M.D. (NPI 1497831424) is an individual specialist in Yonkers, New York, licensed in New York (154001-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scarsdale.

NPPES Registry Identity

NPI1497831424
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SALLY C JORDANCredential: M.D.
Location Address955 YONKERS AVE STE 100Yonkers, NY 10704-3062
Mailing Address955 Yonkers Avenue, Box 21Yonkers, NY 10704 · (914) 472-5140 · Fax (914) 472-5270
Fax(914) 473-5270
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 22, 2018
NPI 1497831424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 154001-1
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

955 YONKERS AVE STE 100, Yonkers, NY 10704

Secondary Practice Location 1

Location 1700 Post RdScarsdale, NY 10583-5063 · Phone (914) 472-5140 · Fax (845) 207-9378

Other Identifiers 1

Other1540011NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sally C Jordan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497831424, enumerated as an "individual" on October 31, 2006.

The provider is located at 955 YONKERS AVE STE 100 YONKERS, NY 10704 and the phone number is (914) 472-5140.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.