Provider Demographics
NPI:1316314297
Name:ZEPPIERI, JORDAN (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:
Last Name:ZEPPIERI
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 REGENT ST
Mailing Address - Street 2:APT 208
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-7331
Mailing Address - Country:US
Mailing Address - Phone:732-710-0654
Mailing Address - Fax:
Practice Address - Street 1:355 GRAND ST
Practice Address - Street 2:JCMC - DEPT OF INTERNAL MEDICINE - 3RD FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4321
Practice Address - Country:US
Practice Address - Phone:732-710-0654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program