Albert Gordin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043067 Issued in NY

Practice address

1276 Fulton St
2ND Floor
Brooklyn, NY 11216-2003

Phone

(718) 789-0909

Fax

(718) 789-6969

NPI assigned

May 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1487875936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162003",
            "telephone_number": "718-789-0909",
            "fax_number": "718-789-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162003",
            "telephone_number": "718-789-0909",
            "fax_number": "718-789-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Gorden, BCBA
• Zachary Gorden, D.D.S.
• Nino Gordeziani I
• Victor Manuel Gordillo, MD
• Yomaira Gordillo, RN
• Inna Gordin, M.D.
• Zarina Taylor Gordin
• Yuliya Gorditsa, PA
• Olena Gordiyenko, RN
• Gordon C Davis Medical PC

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.