Individual provider Active NPI

Barbara Faith Gordon

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1639132202
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
203809 Issued in NY
Practice address
1854 Bedford Ave
Brooklyn, NY 11225-5006
Phone
(718) 462-0018
Fax
(718) 462-0061
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 203809 NY Primary

Addresses

Primary practice location

1854 Bedford Ave
Brooklyn, NY 11225-5006

Mailing address

1854 Bedford Ave
Brooklyn, NY 11225-5006
Phone (718) 462-0018

Other identifiers 1

IdentifierTypeStateIssuer
01896991MedicaidNY

Other names 1

  • Dr. Barbara F Gordon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000280 NY Practitioner - Obstetrics/Gynecology 1355364928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1847 Bedford Ave
Brooklyn, NY 11225-5005
Phone (718) 462-0018

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203809NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Generation Medical Practice, PLLC CurrentSince Aug 22, 2011 Accepting new patients
TBHC Physician Services PC Past Accepting new patients

Locations

1854 Bedford Ave
Brooklyn, NY 11225
Phone (718) 462-0018

1847 Bedford Ave
Brooklyn, NY 11225
Phone (718) 208-4433

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1639132202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255006",
            "telephone_number": "718-462-0018",
            "fax_number": "718-462-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255006",
            "telephone_number": "718-462-0018",
            "fax_number": "718-462-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BARBARA",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "203809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GORDON",
            "middle_name": "F",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.