Organization Active NPI

Richard D Gordon, M.D., P.a.

  • Rheumatology Physician
  • Hamilton, NJ
National Provider Identifier
1548287568
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RICHARD D GORDON, M.D., P.A.
Practice address
2121 Klockner Rd
Hamilton, NJ 08690-3417
Phone
(609) 587-9898
Fax
(609) 584-1774
NPI assigned
Jul 16, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Judith S Gordon
Title
Business Manager
Phone
(609) 587-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

2121 Klockner Rd
Hamilton, NJ 08690-3417

Mailing address

2121 Klockner Rd
Hamilton, NJ 08690-3417
Phone (609) 587-9898

Other identifiers 2

IdentifierTypeStateIssuer
3070000MedicaidNJ
07650482MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1548287568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-587-9898",
            "fax_number": "609-584-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-587-9898",
            "fax_number": "609-584-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D GORDON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "609-587-9898"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07650482",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.