NPIMap

Individual provider Active NPI

David S Gordon, MD

  • Neurological Surgery Physician
  • Bronx, NY
National Provider Identifier
1083718407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
232974 Issued in NY
Practice address
MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467
Phone
(718) 920-7479
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 232974 NY Primary

Addresses

Primary practice location

MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467

Mailing address

400 W 55TH St
Apt. 15F
New York, NY 10019-4417
Phone (718) 920-7476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000292 NY Practitioner - Neurosurgery 5092760306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Vanderbilt University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

130 E 77TH St
7TH Floor Black Hall
New York, NY 10075-1851
Phone (212) 744-8114

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232974NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2012 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2012 Accepting new patients
NYU Langone Hospitals CurrentSince Aug 1, 2016 Accepting new patients
New York University Neurological Surgery CurrentSince Jun 1, 2016 Accepting new patients
NYU Langone Hospitals CurrentSince Aug 1, 2016 Accepting new patients
North Shore-Lij Medical PC Neurological Surgery CurrentSince Sep 17, 2020 Accepting new patients
New York University CurrentSince Jun 1, 2016 Accepting new patients
NYU Langone Hospitals Current Accepting new patients

Locations

3316 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5400

111 E 210th St
Bronx, NY 10467

400 E Main St
Ste 181
Mount Kisco, NY 10549
Phone (914) 269-1780

130 E 77th St
Fl 7
New York, NY 10075
Phone (212) 744-8114

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dgordon67103@northwell.direct-ci.com
  • Direct secure messaging: dagordon@montefioredirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083718407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 55TH ST",
            "address_2": "APT. 15F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194417",
            "telephone_number": "718-920-7476",
            "fax_number": "718-515-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF NEUROSURGERY",
            "address_2": "3316 ROCHAMBEAU AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "232974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.