Individual provider Active NPI

Richard N. Gordon, M.D.

  • Specialist
  • Pomona, NY
National Provider Identifier
1477649424
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
198639 Issued in NY
Practice address
3 Medical Park Drive
Ramapo Ophthalmology Associates, LLP
Pomona, NY 10970-3534
Phone
(845) 362-1450
Fax
(845) 362-3830
NPI assigned
Oct 5, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 198639 NY Primary

Addresses

Primary practice location

3 Medical Park Drive
Ramapo Ophthalmology Associates, LLP
Pomona, NY 10970-3534

Mailing address

3 Medical Park Drive
Ramapo Ophthalmology Associates, LLP
Pomona, NY 10970-3534
Phone (845) 362-1450

Other identifiers 16

IdentifierTypeStateIssuer
061536408OtherNYMULTIPLAN
02202748MedicaidNY
061536408OtherNYFIDELIS
180043792OtherNYRAILROAD MEDICARE
451611OtherNYEMPIRE BC/BS
000000037227OtherNYGHI HMO
061536408OtherNYHUDSON HEALTH PLAN
5789423OtherNYAETNA HMO & PPO
198639OtherNYHIP
6013930OtherNYGHI PPO
OD1543OtherNYHEALTH NET OF NE
P1228868OtherNYOXFORD
696738OtherNYMVP
061536408OtherNYCIGNA
061536408OtherNY1199 NATIONAL BENEFIT FUN
1000004312OtherNYAFFINITY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050909000409 NJ Practitioner - Ophthalmology 2365338365 Reassigns benefits to 1 organization
I20111103000916 NY Practitioner - Ophthalmology 2365338365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Ophthalmology Associates, LLPGroup PAC ID 1759277759, 3 clinicians

Practice addresses (Care Compare)

14 Skyline Dr
Upper Saddle River, NJ 07458-2028
Phone (845) 362-1450

3 Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1450

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 703-2900

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
76.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Orange Ambulatory Surgery Center, LLC CurrentSince Sep 1, 2018 Accepting new patients
Rocky Optical PastSince Mar 8, 2010 Accepting new patients

Locations

21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1477649424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "address_2": "RAMAPO OPHTHALMOLOGY ASSOCIATES, LLP",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703534",
            "telephone_number": "845-362-1450",
            "fax_number": "845-362-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "address_2": "RAMAPO OPHTHALMOLOGY ASSOCIATES, LLP",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703534",
            "telephone_number": "845-362-1450",
            "fax_number": "845-362-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RICHARD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "198639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "061536408",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02202748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "061536408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043792",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "451611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000037227",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON HEALTH PLAN",
            "identifier": "061536408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO & PPO",
            "identifier": "5789423",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "198639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "6013930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF NE",
            "identifier": "OD1543",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1228868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "696738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "061536408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NATIONAL BENEFIT FUN",
            "identifier": "061536408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000004312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.