Individual provider Active NPI

Nicolas Gordon, MD

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1306465091
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MT221413 Issued in NY
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(646) 929-7800
NPI assigned
Apr 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA13121200 NJ
Pulmonary Disease Physician 207RP1001X MT221413 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA13121200 NJ

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

353 Grove St Apt 1a
Jersey City, NJ 07302-2973
Phone (917) 474-5667

Other practice location 1

1 Springfield Ave Fl 3
Summit, NJ 07901-4055
Phone (908) 934-0555

Other practice location 2

17 Wanaque Avenue
Pompton Lakes, NJ 07442
Phone (973) 617-1750

Other practice location 3

1125 Route 22 Ste 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT221413NYMDPulmonary Disease Physician

Interoperability endpoints

  • Direct secure messaging: ngordon574582@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1306465091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 GROVE ST APT 1A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022973",
            "telephone_number": "917-474-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-929-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Springfield Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079014055",
            "country_code": "US",
            "telephone_number": "908-934-0555",
            "fax_number": "908-934-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Wanaque Avenue",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "07442",
            "country_code": "US",
            "telephone_number": "973-617-1750",
            "fax_number": "973-617-1751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Route 22 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072939",
            "country_code": "US",
            "telephone_number": "908-947-7022",
            "fax_number": "908-947-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NICOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA13121200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "MT221413",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA13121200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.