Individual provider

Jordan Sudberg, M.D

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Jordan Sudberg, M.D is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Islandia, NY, registered under NPI 1053577312.

Getting there

The practice address on file is 1717 VETERANS MEMORIAL HWY STE 1, Islandia, NY 11749. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1717 VETERANS MEMORIAL HWY STE 1, Islandia, NY 11749 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
272774 NY Sports Medicine (Physical Medicine &… primary

This provider holds licence 272774 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Sports Medicine covers

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. NUCC Health Care Provider Taxonomy, code 2081S0010X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053577312 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 5, 2008
Last updatedOct 31, 2024
StatusActive
Sole proprietorNo
CredentialM.D
Practice address 1717 VETERANS MEMORIAL HWY STE 1
Islandia, NY 11749
(631) 203-4300
Fax (631) 203-4305
Mailing address 50 E 28TH ST APT 21D
New York, NY 10016
This record was updated on Oct 31, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1053577312 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 5 7 7 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 1 7 5 3 2

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053577312?
NPI 1053577312 is the National Provider Identifier assigned to Jordan Sudberg, M.D in Islandia, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
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…
How do I contact Jordan Sudberg, M.D?
The phone number on file with NPPES is (631) 203-4300, last updated Oct 31, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1053577312 a valid number?
Yes. 1053577312 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.