Active NPI
Jason Gordon, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1518024769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008892
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008892 | NY | MD | Mental Health Counselor |
| X008892 | NY | MD | Chiropractor |
| 008092 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnegie Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| Anderson Peak Performance Inc. | Chiropractor | Current | 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.
-
- Chiropractor
- New York, NY
- NPI 1265625271
-
- Chiropractor
- New York, NY
- NPI 1942657382
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.