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JORDAN F. EZRING
NPI 1659091585
Physician Assistant - Medical in Hauppauge, NY

Active since August 31, 2022PECOS Enrolled
301 NEW HWY, HAUPPAUGE, NY 11788(631) 559-0551 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan F. Ezring NPPES

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

JORDAN F. EZRING (NPI 1659091585) is an individual medical provider in Hauppauge, New York, licensed in New York (028853) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659091585
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJORDAN F. EZRING
Location Address301 NEW HWYHauppauge, NY 11788-2016
Mailing Address301 New HwyHauppauge, NY 11788-2016
Phone(631) 559-0551
Sole ProprietorNo
Enumeration DateAugust 31, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1659091585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 028853
301 NEW HWY, Hauppauge, NY 11788
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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 F. Ezring 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 NPPES & CMS

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

What is Jordan Ezring's NPI number?

The NPI number for Jordan Ezring is 1659091585. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Jordan Ezring located?

Jordan Ezring practices at 301 New Hwy, Hauppauge, NY 11788. The listed phone number is (631) 559-0551.

What is Jordan Ezring's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jordan Ezring enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Ezring was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.