Wayne Gordon, M.D.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

004201-1 Issued in NY

Practice address

5 E. 98TH Street
6TH Floor Box 1240 B
New York, NY 10029

Phone

(212) 659-9363

Fax

(212) 348-5901

NPI assigned

Mar 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1407825516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E. 98TH STREET",
            "address_2": "6TH FLOOR BOX 1240 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-659-8353",
            "fax_number": "212-348-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E. 98TH STREET",
            "address_2": "6TH FLOOR BOX 1240 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-659-9363",
            "fax_number": "212-348-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "004201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gordon, CRNA
• Tamar Gordon, PHD
• Tara Gordon, MA, CCC-SLP
• Therese Gordon, LPN
• Vilma Martinez Gordon, LCSW
• Yekaterina Gordon, M.D.
• Zachary Gordon
• Andrew Gordy, PH.D.
• Elana Gordy
• Ankita Gore, MD

• Rehabilitation Practitioner in New York, NY
• Providers in New York, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.