Active NPI
Emily Linzer Gordon, M.D.
- Internal Medicine Physician
- Goshen, NY
National Provider Identifier
1164477238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 192255 1
- Practice address
- 70 Hatfield LN Ste 101
Goshen, NY 10924-6735 - Phone
- (845) 294-8888
- Fax
- (845) 294-1699
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 192255 1 | NY | Primary |
Addresses
Primary practice location
70 Hatfield LN Ste 101
Goshen, NY 10924-6735
Mailing address
20 Grand Street, 3Rd FL
Warwick, NY 10990-1035
Phone (845) 987-3906
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00302564 | Other | NY | RAILROAD MEDICARE |
| 01534385 | Medicaid | NY |
Other names 1
- Emily Sheva Linzer
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192255 1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Signs Medical Associates PLLC | Internal Medicine | Current | Accepting new patients |
Locations
450 E Main St
Ste 4
Middletown, NY 10940
Phone (845) 381-5109
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Middletown, NY
- NPI 1417248543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1164477238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND STREET, 3RD FL",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3906",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HATFIELD LN STE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246735",
"telephone_number": "845-294-8888",
"fax_number": "845-294-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "EMILY",
"middle_name": "LINZER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "192255 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00302564",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01534385",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "LINZER",
"middle_name": "SHEVA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.