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JORDAN GHASSEMIAN MD
NPI 1558095406
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since July 14, 2022PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-3542 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jordan Ghassemian Md NPPES

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

JORDAN GHASSEMIAN MD (NPI 1558095406) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558095406
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN GHASSEMIANCredential: MD
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address7901 BroadwayElmhurst, NY 11373-1329
Phone(718) 334-3542
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 14, 2022
✔ NPI 1558095406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7901 BROADWAY, Elmhurst, NY 11373
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Ghassemian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315412871
PECOS Enrollment IDI20260413001033
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Ghassemian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC
6.4 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

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 Ghassemian's NPI number?

The NPI number for Jordan Ghassemian is 1558095406. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Jordan Ghassemian located?

Jordan Ghassemian practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-3542.

What is Jordan Ghassemian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Ghassemian enrolled in Medicare?

Yes. Jordan Ghassemian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Ghassemian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Ghassemian reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Ghassemian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Ghassemian was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.