JORDAN SUDBERG M.D – NPI #1053577312
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

JORDAN SUDBERG is a physician located in ISLANDIA, NY. NPPES has assigned the NPI number 1053577312 to JORDAN SUDBERG on August 05, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was last updated on Oct 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN SUDBERG below.

NPI Profile for
JORDAN SUDBERG

NPI Number
1053577312
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN SUDBERG
Credentials
M.D
Primary location
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749-1532
Phone: (631) 203-4300 Fax: (631) 203-4305
Mailing address
50 E 28TH ST APT 21D
NEW YORK, NY 10016-7980
Phone: (646) 239-8418 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
NY 272774

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.