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

Individual provider Surgical Physician Assistant · NPI 1497493894

Kaitlyn Jordan, PA-C is a Surgical Physician Assistant in Bronx, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-8874
Fax: (718) 231-7113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Eastchester Rd, Bronx, NY 10461-2301 — (718) 405-8375

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1497493894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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