Individual provider Active NPI

Jason Gordon, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1518024769
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008892 Issued in NY
Practice address
162 W 56TH St
Suite 205
New York, NY 10019-3831
Phone
(212) 247-3310
Fax
(212) 247-1240
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008892 NY Primary

Addresses

Primary practice location

162 W 56TH St
Suite 205
New York, NY 10019-3831

Mailing address

162 W 56TH St
Suite 205
New York, NY 10019-3831
Phone (212) 247-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000496 NY Practitioner - Chiropractic 2466358403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 W 56TH St
4TH Floor
New York, NY 10019-3906
Phone (212) 247-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008892NYMDMental Health Counselor
X008892NYMDChiropractor
008092NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Carnegie Chiropractic, P.C. Chiropractor CurrentSince Feb 14, 2001 Accepting new patients
Anderson Peak Performance Inc. Chiropractor CurrentSince Jul 26, 2016 Accepting new patients

Locations

162 W 56th St
Ste 205
New York, NY 10019
Phone (212) 247-3310

39 W 56th St
Apt 4
New York, NY 10019
Phone (212) 247-3310

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1518024769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST",
            "address_2": "SUITE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193831",
            "telephone_number": "212-247-3310",
            "fax_number": "212-247-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST",
            "address_2": "SUITE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193831",
            "telephone_number": "212-247-3310",
            "fax_number": "212-247-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.

Verify at the official NPI Registry.