Provider Demographics
NPI:1376289314
Name:ABEND, JORDAN (DO)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:
Last Name:ABEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 CHESHIRE RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1309
Mailing Address - Country:US
Mailing Address - Phone:201-739-5887
Mailing Address - Fax:
Practice Address - Street 1:544 MOUNT HOPE RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2816
Practice Address - Country:US
Practice Address - Phone:973-532-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB12408200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine