Jason R. Gordon D.D.S. P. C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0528121 Issued in NY

Legal business name

JASON R. GORDON D.D.S. P. C.

Practice address

724 Pelham Pkwy S
Bronx, NY 10462-1029

Phone

(347) 281-9444

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason R GordonNPI 1326240458

Title

Dentist/Owner

Phone

(347) 281-9444

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason R Gordon, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1326240458
  NPD (past) Authorized official

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1629301395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621029",
            "telephone_number": "347-281-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621029",
            "telephone_number": "347-281-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. GORDON D.D.S. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "347-281-9444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0528121",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Jarzyna
• Shannon Patricia More Jarzynka, DNP, CPNP
• Jas Pharmacy Inc. (simelson pharmacy)
• Frantz Jasmin, M.D.
• Johanne Jasmin, FNP
• Nancy Ann Roberson Jasper, M.D.
• Jyothi Rao Jasti, M.D
• Nadia Nazir Jatoi, M.D.
• Kamalawattie Jaundoo, LPN
• Kristela Jaupaj, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 14, 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.