Seth David Gordon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

231449 Issued in NY

Practice address

20 E 9TH St
6L
New York, NY 10003-5944

Phone

(917) 288-6648

Fax

(435) 921-1950

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sdg9004@direct.nyp.org

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548356058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 9TH ST",
            "address_2": "6L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035944",
            "telephone_number": "917-288-6648",
            "fax_number": "435-921-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 9TH ST",
            "address_2": "6L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035944",
            "telephone_number": "917-288-6648",
            "fax_number": "435-921-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "231449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Gordon, DPT, CSCS, RYT-200
• Rebecca Marie Gordon
• Rhonia Gordon, MD
• Robert Marc Gordon, PSY.D.
• Ruthann Gordon, FNP-BC
• Shamoya Gordon, PA
• Sharon Gordon, LCSW
• Sharon R Gordon
• Shira Gordon, MSW
• Stefanie Erin Gordon, OTD, OTR/L

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.