| Mark Louis Jordan, MD | |
|
90 Bergen St, Doc 2300, Newark, NJ 07103-2425 | |
| (973) 972-2888 | |
| (973) 972-2892 |
| Full Name | Mark Louis Jordan |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 49 Years |
| Location | 90 Bergen St, Newark, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831121607 | NPI | - | NPPES |
| 6451608 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 25MA07557800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uci Department Of Urology | 6901799238 | 36 |
| Entity Name | Prohealth Partners, A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
| Entity Name | Uci Department Of Urology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255398533 PECOS PAC ID: 6901799238 Enrollment ID: O20040202001148 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Louis Jordan, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | Mark Louis Jordan, MD 90 Bergen St, Doc 2300, Newark, NJ 07103-2425 Ph: (973) 972-2888 |
Kunj Jain, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 185 S Orange Ave, Newark, NJ 07103 Phone: 732-445-4636 | |
Dr. Evan Kovac, MD CM FRCSC Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Bergen St Rm G-1680, Newark, NJ 07103 Phone: 973-972-4418 | |
Dr. Gina Cambareri, MD Urology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, L5, Newark, NJ 07112 Phone: 973-926-7280 |