Zachary Gorden, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043323 Issued in NY

Practice address

1537 51St St
Brooklyn, NY 11219-3738

Phone

(718) 437-7094

Fax

(718) 437-2907

NPI assigned

Oct 20, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639168727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192702",
            "telephone_number": "718-437-7094",
            "fax_number": "718-437-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193738",
            "telephone_number": "718-437-7094",
            "fax_number": "718-437-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "0007965",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01250499",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "002475",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NEW YORK",
            "identifier": "D000341-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Gorbachincky, LMSW
• Allen Gorbonos, DO
• Natalya Gorbunvoa
• Jolie Gorchov, LCSW
• Nicole Gorden, BCBA
• Nino Gordeziani I
• Victor Manuel Gordillo, MD
• Yomaira Gordillo, RN
• Albert Gordin, D.D.S.
• Inna Gordin, M.D.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 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.