Marc E Gordon DMD, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15768 Issued in NJ

Legal business name

MARC E GORDON DMD, PC

Practice address

1 Industrial Way W
Building C
Eatontown, NJ 07724-2255

Phone

(732) 389-3400

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marc E Gordon, DMDNPI 1548281942

Title

President

Phone

(732) 389-3400

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marc E Gordon, DMD

  • Periodontics
  • Howell, NJ
  • NPI 1548281942
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1316964968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077160335",
            "telephone_number": "732-389-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL WAY W",
            "address_2": "BUILDING C",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242255",
            "telephone_number": "732-389-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC E GORDON DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-389-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Mancinelli, BCBA
• Manfredi Surgical & Orthopedic Co., Inc.
• Mihir Kishor Maniar, D.O.
• Jessica Salas Mann, MD
• Michele Maraziti, LCSW
• Kristen Heather Marcaly, PSYD
• Andrew E. Marino, MD
• Markbreiter Orthopedics PC
• Marron Family Wellness Center LLC
• Deborah Lynn Martin, MA,L.P.C.,L.C.A.D.C

• Periodontics in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.