Stephen J. Gordon, M.D.,P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA04275700 Issued in NJ

Legal business name

STEPHEN J. GORDON, M.D.,P.A.

Practice address

317 Cleveland Ave., 2ND Floor
Highland Park, NJ 08904

Phone

(732) 545-0362

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen J. Gordon J Gordon, M.D.

Title

President

Phone

(732) 545-0362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Jay Gordon, M.D.

  • Ophthalmology Physician
  • Highland Park, NJ
  • NPI 1801829734
  Medicare reassignment NPD
• Roopinder Grewal, M.D.

  • Ophthalmology Physician
  • Somerset, NJ
  • NPI 1740327527
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174541106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE., 2ND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE., 2ND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-545-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. GORDON, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEPHEN J. GORDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-545-0362",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04275700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staller Family Practice
• Branden Staller
• Anna Steif, LCSW
• Birgitta Steinberg, L.C.S.W.
• Bonnie Jean Steinhart, OTR/L
• Karen Stern, LCSW
• Stephanie Klein Stern, MD
• Honey Sterzer, LCSW, RN, BCN
• Steven M Dribbon DPM PC
• Steven M. Dribbon, DPM, PC

• Ophthalmology Physician in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Ophthalmology Physician in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.