Active NPI
Gordon Anderson, M.D.
- Specialist
- Brooklyn, NY
National Provider Identifier
1245214519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 233218
- Practice address
- 374 Stockholm St
Department Neurosurgery
Brooklyn, NY 11237-4006 - Phone
- (718) 963-7266
- Fax
- (718) 963-6491
- NPI assigned
- Dec 1, 2005
- Last updated
- Jul 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 233218 | NY | Primary |
Addresses
Primary practice location
374 Stockholm St
Department Neurosurgery
Brooklyn, NY 11237-4006
Mailing address
374 Stockholm St
Department Neurosurgery
Brooklyn, NY 11237-4006
Phone (718) 963-7266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02600035 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Neurosurgery & Neuroscience Associates | Past | Accepting new patients | |
| The Brookdale Hospital Medical Center | Past | Accepting new patients | |
| Wyckoff Heights Medical Services PC | Past | Accepting new patients | |
| New York Neurosurgery & Neuroscience Associates | Specialist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1245214519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"address_2": "DEPARTMENT NEUROSURGERY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-963-7266",
"fax_number": "718-963-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"address_2": "DEPARTMENT NEUROSURGERY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-963-7266",
"fax_number": "718-963-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "233218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02600035",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.