Individual provider Active NPI

Jeffrey N Gordon, MD

  • Urology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1124068044
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD059491L Issued in PA
Practice address
400 Davis Dr Ste 200B
Plymouth Meeting, PA 19462-1718
Phone
(215) 242-8260
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD059491L PA Primary

Addresses

Primary practice location

400 Davis Dr Ste 200B
Plymouth Meeting, PA 19462-1718

Mailing address

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462-1421
Phone (484) 530-0205

Other practice location 1

8815 Germantown Ave Ste 46
Philadelphia, PA 19118-2722
Phone (215) 242-8260

Other practice location 2

1800 Byberry Rd Ste 1203
Huntingdon Valley, PA 19006-3524
Phone (215) 517-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000297 PA Practitioner - Urology 5698827996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

Practice addresses (Care Compare)

1800 Byberry Rd
Suite 1203
Huntingdon Valley, PA 19006-3524
Phone (215) 947-4105

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

817 Lawn Ave
Suite 2
Sellersville, PA 18960-1579
Phone (215) 517-1100

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059491LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Urology Health Surgery Center, LLC CurrentSince Sep 1, 2017 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
325 ASC, LLC CurrentSince Feb 1, 2026 Accepting new patients
Urology Health Surgery Center, LLC CurrentSince Sep 1, 2017 Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients
Jefferson University Physicians Urology Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Dr Richard E Landau Urology Past Accepting new patients

Locations

1235 Old York Rd
Ste 218
Abington, PA 19001
Phone (215) 517-1100

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400

700 Horizon Dr
Ste 201
Chalfont, PA 18914
Phone (215) 453-2510

599 W State St
Ste 303
Doylestown, PA 18901
Phone (215) 230-9070

1800 Byberry Rd
Ste 1203
Huntingdon Valley, PA 19006
Phone (215) 517-1100

1800 Byberry Rd
Ste 1204
Huntingdon Vy, PA 19006
Phone (215) 517-1100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

325 W Germantown Pike
Ste 100
Norristown, PA 19403
Phone (610) 272-1881

8815 Germantown Ave
Ste 46
Philadelphia, PA 19118
Phone (215) 242-8260

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

8815 Germantown Ave
Ste 21
Philadelphia, PA 19118
Phone (215) 242-8260

2701 Holme Ave
Ste 101
Philadelphia, PA 19152
Phone (215) 335-3535

400 Davis Dr
Ste 200B
Plymouth Meeting, PA 19462
Phone (215) 242-8260

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

817 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-5071

711 Lawn Ave
Ste 2
Sellersville, PA 18960
Phone (215) 257-1050

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: jgordon350561@direct-sluhn.org
  • Direct secure messaging: jgordon@urologyhealthspecialists.medentdirect.com

Organizations & group practices 9

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 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1124068044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE",
            "address_2": "STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621421",
            "telephone_number": "484-530-0205",
            "fax_number": "484-530-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DAVIS DR STE 200B",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621718",
            "telephone_number": "215-242-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8815 Germantown Ave Ste 46",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-242-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Byberry Rd Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190063524",
            "country_code": "US",
            "telephone_number": "215-517-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD059491L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.