Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jordan Sudberg, MD

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1053577312

Dr. Jordan Sudberg, MD is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Islandia, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1717 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1532
Phone: (631) 203-4300
Fax: (631) 203-4305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 272774 (NY)

Record details

NPI number1053577312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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