Individual provider Active NPI

Doris Gordon

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1083772818
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003927-1 Issued in NY
Practice address
177 Livingston Street
Lower Level
Brooklyn, NY 11201-5875
Phone
(718) 855-7707
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003927-1 NY Primary

Addresses

Primary practice location

177 Livingston Street
Lower Level
Brooklyn, NY 11201-5875

Mailing address

177 Livingston St
Lowr Level
Brooklyn, NY 11201-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000084 NY Practitioner - Podiatry 2961508262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003927-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
Ahrc Healthcare Inc. CurrentSince Feb 1, 2011 Accepting new patients
Ahrc Health Care Inc CurrentSince Feb 1, 2011 Accepting new patients
The Institute for Family Health CurrentSince May 1, 2018 Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378

251 W 80th St
New York, NY 10024

Networks

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

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1083772818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST",
            "address_2": "LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON STREET",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015875",
            "telephone_number": "718-855-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.