JORDAN C HARRIS MD, PHD
NPI 1679377725
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Jordan C Harris Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN C HARRIS MD, PHD (NPI 1679377725) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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 C Harris Md, Phd 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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Harris's NPI number?
The NPI number for Jordan Harris is 1679377725. It was assigned to this individual provider in the NPPES registry on April 1, 2025.
Where is Jordan Harris located?
Jordan Harris practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Jordan Harris'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 Harris enrolled in Medicare?
Yes. Jordan Harris is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Harris was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 C Harris, MD, PHD · NPI 1679377725
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 1, 2025.
## Identity
- **NPI:** 1679377725 (Entity type: Individual)
- **Enumerated:** April 1, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679377725) · Data from the CMS NPPES public registry.