# JORDAN SUDBERG MD P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285033662
- **Authorized official:** DR. JORDAN SUDBERG M.D (PRESIDENT)
- **Authorized official phone:** (646) 239-8418

## Contact information

- **Practice address:** 1717 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1532
- **Practice address phone:** (646) 239-8418
- **Mailing address:** 50 E 28TH ST APT 21D, NEW YORK, NY 10016-7980
- **Mailing address phone:** (646) 239-8418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 272774 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 11/01/2024