Ronald Gordon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

137316 Issued in NY

Practice address

425 Old Courthouse Rd
New Hyde Park, NY 11040-1115

Phone

(516) 365-7800

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Psychiatry

Education

State University of Ny Upstate Medical University, 1977

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306874151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OLD COURTHOUSE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401115",
            "telephone_number": "516-365-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD COURTHOUSE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401115",
            "telephone_number": "516-365-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "137316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00617749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon and Held, MDPC
• Caitlyn Gordon, PHARMD
• Gerard Gordon, PT
• Jamie Leigh Gordon, LMHC
• Rachel Gordon
• Samantha Gordon, M.D.
• Susan Gordon, M.D.
• Sarah Gean Gore, M.D.
• Mary Ellen Gorey, RPA-C
• Zachary Steven Gorgone

• Psychiatry Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.