Leslie E. Gordon, MD P.C.

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

Legal business name

LESLIE E. GORDON, MD P.C.

Practice address

2600 Netherland Ave Ste 102
Bronx, NY 10463-4813

Phone

(718) 709-0955

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Ellen Gordon, MDNPI 1104038231

Title

Owner

Phone

(917) 531-0197

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Ellen Gordon, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1104038231
  Medicare reassignment Care Compare group NPD Authorized official
• Kim Starer Landzberg, M.D.

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1942218151
  Medicare reassignment Care Compare group NPD
• Carlos Alberto De la Rosa, OD

  • Optometrist
  • New York, NY
  • NPI 1487623112
  NPD
• Yajaira Rosemary Fernandez, OD

  • Optometrist
  • Bronx, NY
  • NPI 1881764645
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1285230722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634813",
            "telephone_number": "718-709-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634813",
            "telephone_number": "718-709-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321541",
            "country_code": "US",
            "telephone_number": "212-926-0336",
            "fax_number": "212-926-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LESLIE E. GORDON, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-531-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6922512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3908626",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "1104038231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "112358021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "408107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9123112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabienne Marie Lescouflair, LCSW
• Lesell Drugs Inc.
• Mark Harold Leshner, DC
• Lukacs Sandor Lesinszki, M.D.
• Khrystyna Leskiv, D.D.S.
• Kim Leslie-Underwood, MHC-LP, CASAC-2
• Jennifer Yvonne Leslie
• Nicole Lesnett
• Peter Lesniewski, MD
• Edeline Lesperance

• Cornea and External Diseases Specialist Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Cornea and External Diseases Specialist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.