NPIMap

Individual provider Active NPI

Stella Gordin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1235174145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
238862 Issued in NY
Practice address
153 W 11TH St
Coleman 303
New York, NY 10011-8305
Phone
(212) 604-8385
Fax
(212) 604-8426
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 238862 NY Primary

Addresses

Primary practice location

153 W 11TH St
Coleman 303
New York, NY 10011-8305

Mailing address

PO Box 29228
New York, NY 10087-9228
Phone (800) 207-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080612000681 NY Practitioner - Pathology 6608947056 Reassigns benefits to 2 organizations
I20260528003660 NJ Practitioner - Pathology 6608947056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 538-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238862NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Jan 1, 2016 Accepting new patients
New York University Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2017 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2016 Accepting new patients
Fpa Hospital Based Current Accepting new patients
New York University CurrentSince Jul 1, 2017 Accepting new patients

Locations

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Interoperability endpoints

  • Direct secure messaging: sgordin211479@nyumc.direct-ci.com

Organizations & group practices 6

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 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235174145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29228",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879228",
            "telephone_number": "800-207-5737",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 11TH ST",
            "address_2": "COLEMAN 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118305",
            "telephone_number": "212-604-8385",
            "fax_number": "212-604-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "238862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.