Jarrod Anderson
Contractor in Brooklyn, NY. Individual provider (NPI-1).
NPI number1992499529
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1992499529
- Entity type
- Individual (NPI-1)
- Name
- Jarrod Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
1764 Union St Apt 3bBrooklyn, NY 11213-5099
Phone 813-900-6486
Mailing address
1764 Union St Apt 3bBrooklyn, NY 11213-5099
Phone 813-900-6486
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