Individual provider Active NPI

Emily Linzer Gordon, M.D.

  • Internal Medicine Physician
  • Goshen, NY
National Provider Identifier
1164477238
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192255 1 Issued in NY
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

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00302564OtherNYRAILROAD MEDICARE
01534385MedicaidNY

Other names 1

  • Emily Sheva Linzer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000591 NY Practitioner - Internal Medicine 2264442516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192255 1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Signs Medical Associates PLLC Internal Medicine CurrentSince Jul 15, 2011 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.

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

Verify at the official NPI Registry.