David Gordon DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N006085 Issued in NY

Legal business name

DAVID GORDON DPM PC

Practice address

224 Beach 20TH St
Far Rockaway, NY 11691-3618

Phone

(718) 327-3968

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

David Gordon, DPMNPI 1588626964

Title

Owner

Phone

(718) 327-3968

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• David Jeffery Gordon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Far Rockaway, NY
  • NPI 1588626964
  Medicare reassignment Authorized official
• Nazila Sara Munesa, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1710216742
  Medicare reassignment NPD
• William M Levine

  • Specialist
  • Brooklyn, NY
  • NPI 1407910292
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1386901155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913618",
            "telephone_number": "718-327-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913618",
            "telephone_number": "718-327-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GORDON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-327-3968",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02778045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadeth Mangaoil Dannug
• Roberta Faye Danzig
• Liana Shayne Dardashti
• Andrieh Darwich, MD
• Michal Dauman, SLP
• Ilana David
• Leanne Leah David, MA CCC-SLP
• Sarah Davidovits
• Alicia Arion Davis
• Helena Davis

• Podiatrist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.