KAITLYN JORDAN PA-C
NPI 1497493894
Physician Assistant - Surgical in Bronx, NY
NPI Status: Active since May 25, 2022
Contact Information
111 E 210TH ST
BRONX, NY
ZIP 10467
Phone: (718) 920-8874
Fax: (718) 231-7113
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About KAITLYN JORDAN
This page provides the complete NPI Profile along with additional information for Kaitlyn Jordan, a provider established in Bronx, New York with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1497493894 assigned on May 2022. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1497493894
- Provider Name
- KAITLYN JORDAN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 E 210TH ST BRONX, NY 10467
- Location Phone
- (718) 920-8874
- Location Fax
- (718) 231-7113
- Mailing Address
- 111 E 210TH ST BRONX, NY 10467
- Mailing Phone
- (718) 920-8874
- Mailing Fax
- (718) 231-7113
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-25-2022
- Last Update Date
- 05-25-2022
- Code Navigator
Location Map
Secondary Locations
- 1825 Eastchester Rd
Bronx, NY 10461
(718) 405-8375
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Medicare Participation & PECOS Enrollment Status
Kaitlyn Jordan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 4 | 9 | 3 | 8 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 8 | 9 | 6 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 8 + 9 + 6 + 8 + 1 + 8 + 24 = 86 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 86 = 4 | 4 | ||||||||
The NPI number 1497493894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083619373 | MS. CALETHA DICKS CRNA Individual | Nurse Anesthetist, Certified Registered | 111 E 210TH ST BRONX, NY 10467 (718) 920-4316 |
| 1346248960 | DR. LEONARD FREEMAN MD Individual | Nuclear Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-6060 |
| 1407856255 | PING ZHOU MD Individual | Pediatrics (Pediatric Endocrinology) | 111 E 210TH ST BRONX, NY 10467 (718) 920-4664 |
| 1386644193 | DR. RICHARD HERBERT SAVEL MD Individual | Internal Medicine (Critical Care Medicine) | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 (718) 920-5443 |
| 1750376919 | DR. THOMAS B PERERA M.D. Individual | Emergency Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-6626 |
| 1912993106 | DR. FRED SMITH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 111 E 210TH ST MONTEFIORE MED CTR DEPT PATHOLOGY BRONX, NY 10467 (718) 920-4976 |
| 1457347486 | DR. SEYMOUR SOLOMON M.D. Individual | Psychiatry & Neurology (Neurology) | 111 E 210TH ST BRONX, NY 10467 (718) 920-4203 |
| 1952371908 | KAYANN WILSON Individual | Nurse Practitioner (Adult Health) | 111 E 210TH ST BRONX, NY 10467 (718) 920-7738 |
| 1558332007 | HENRY M USHAY MD Individual | Pediatrics | 111 E 210TH ST ROSENTHAL 4 BRONX, NY 10467 (718) 741-2463 |
| 1215995477 | DR. ANDREA MARIE PORROVECCHIO MD Individual | Internal Medicine | 111 E 210TH ST NW6 BRONX, NY 10467 (718) 920-3822 |
| 1396798096 | SARAH BELLEMARE M.D. Individual | Surgery | 111 E 210TH ST ROSENTHAL 2 BRONX, NY 10467 (718) 920-5926 |
| 1013964469 | DR. JONATHAN PHILIP LEVINE M.D. Individual | Ophthalmology | 111 E 210TH ST DEPT OF OPHTHALMOLOGY BRONX, NY 10467 (718) 920-2020 |
| 1417994724 | DR. ALINA O. DULU M.D. Individual | Anesthesiology (Critical Care Medicine) | 111 E 210TH ST BRONX, NY 10467 (212) 774-1873 |
| 1245274364 | DR. PAUL RISKA MD Individual | Internal Medicine (Infectious Disease) | 111 E 210TH ST BRONX, NY 10467 (718) 920-6494 |
| 1407885205 | ENVER AKALIN M.D. Individual | Internal Medicine (Nephrology) | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 (718) 920-4815 |
| 1295765618 | GITIT TOMER M.D. Individual | General Acute Care Hospital (Children) | 111 E 210TH ST BRONX, NY 10467 (718) 741-2332 |
| 1619990306 | ANDREW K CHANG M.D. Individual | Emergency Medicine | 111 E 210TH ST EMERGENCY DEPARTMENT BRONX, NY 10467 (718) 920-7674 |
| 1467461665 | DR. YELENA AVERBUKH M.D. Individual | Internal Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-7270 |
| 1386657146 | MRS. JAMIE R MCKAY RN Individual | Registered Nurse | 111 E 210TH ST BRONX, NY 10467 (718) 920-7329 |
| 1487667242 | KATHLEEN M. FAHEY R.N. Individual | Registered Nurse (Medical-Surgical) | 111 E 210TH ST MAP 4 DEPT OF SURGERY BRONX, NY 10467 (718) 920-5961 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497493894, enumerated in the NPI registry as an "individual" on May 25, 2022
The provider is located at 111 E 210th St Bronx, Ny 10467 and the phone number is (718) 920-8874
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 25, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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