Active NPI
Gerard Gordon, PT
- Physical Therapist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029619
- Practice address
- 1991 Marcus Ave Ste M115
New Hyde Park, NY 11042-3000 - Phone
- (516) 467-8730
- NPI assigned
- Oct 9, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029619 | NY | Primary |
Addresses
Primary practice location
1991 Marcus Ave Ste M115
New Hyde Park, NY 11042-3000
Mailing address
1730 Lakeville Road
New Hyde Park, NY 11040
Phone (516) 326-0794
Other practice location 1
1730 Lakeville Road
New Hyde Park, NY 11040
Phone (516) 326-0794
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ggordon97786@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029619 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
1991 Marcus Ave
Ste M115
New Hyde Park, NY 11042
Phone (516) 467-8730
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1366693244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 LAKEVILLE ROAD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "516-326-0794",
"fax_number": "516-326-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 MARCUS AVE STE M115",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110423000",
"telephone_number": "516-467-8730"
}
],
"practiceLocations": [
{
"address_1": "1730 LAKEVILLE ROAD",
"address_purpose": "LOCATION",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"country_code": "US",
"telephone_number": "516-326-0794",
"fax_number": "516-326-0793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "GERARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ggordon97786@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1991 Marcus Ave Ste M115",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110423000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.