Individual provider Active NPI

Susan Master Gordon, M.D.

  • Ophthalmology Physician
  • Voorhees, NJ
National Provider Identifier
1003034034
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08373200 Issued in NJ
Practice address
1140 White Horse Rd
Suite1
Voorhees, NJ 08043-2106
Phone
(856) 784-3366
Fax
(856) 784-4388
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA08373200 NJ Primary
Ophthalmology Physician 207W00000X MD441470 PA

Addresses

Primary practice location

1140 White Horse Rd
Suite1
Voorhees, NJ 08043-2106

Mailing address

1140 White Horse Rd
Suite1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080728000601 NJ Practitioner - Ophthalmology 4385718196 Reassigns benefits to 2 organizations
I20130524000258 PA Practitioner - Ophthalmology 4385718196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians PCGroup PAC ID 8224930201, 13 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

408 Route 70 E
Cherry Hill, NJ 08034-2409
Phone (215) 440-3160

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians PC Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Eye Physicians PC Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince May 1, 2013 Accepting new patients
Ralph C Lanciano Jr DO PA Ophthalmology Past Accepting new patients
Cee Optical Centre Past Accepting new patients

Locations

1401 Route 70 E
Ste 18
Cherry Hill, NJ 08034
Phone (856) 428-5797

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

389 Ganttown Rd
Ste G
Sewell, NJ 08080
Phone (856) 589-4545

1140 White Horse Rd
Ste 1
Voorhees, NJ 08043
Phone (856) 784-3366

840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1003034034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366",
            "fax_number": "856-784-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WHITE HORSE RD",
            "address_2": "SUITE1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432106",
            "telephone_number": "856-784-3366",
            "fax_number": "856-784-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SUSAN",
        "middle_name": "MASTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08373200",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD441470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.