Mark Forrest Gordon, MD, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MARK FORREST GORDON, MD, PLLC

Practice address

3003 New Hyde Park Rd
Ste 312
New Hyde Park, NY 11042-1214

Phone

(516) 488-3200

Fax

(516) 488-3266

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Forrest Gordon

Title

Owner

Phone

(516) 488-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114974342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FIR DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762406",
            "telephone_number": "516-484-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "STE 312",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-488-3200",
            "fax_number": "516-488-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FORREST GORDON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-488-3200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Elena Dragonetti DO PC
• Dorene Marinese, M.D.
• Celeste A Marino, PA
• John Steven Marino, M.D.
• Riddhi Marjadi, CNIM
• Mark Spitzer, MD P.C.
• Sarah Mark, PHARM.D
• Avraham Markowitz, MD
• Daniel Jordan Markowitz
• James Markowitz, MD

• Neurology Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.