Jeffrey Gordon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD059192L Issued in PA

Practice address

900 Walnut St.
Jefferson University Hospital
Philadelphia, PA 19107

Phone

(215) 503-1340

Fax

(215) 503-1342

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Anesthesiology

Education

Columbia University College of Physicians and Surgeons, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rancocas Anesthesiology PAGroup PAC ID 2769380237, 5 clinicians

Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885
  Medicare reassignment Care Compare group NPD
• Rancocas Anesthesiology, P.a.

  • Specialist
  • Mount Laurel, NJ
  • NPI 1427076553

  PA

  Medicare reassignment Care Compare group
• Ra Pain Services PA

  • Interventional Pain Medicine Physician
  • Sewell, NJ
  • NPI 1396802658
  NPD

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

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649287251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US RT 130 N",
            "address_2": "SUITE 203",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-829-9345",
            "fax_number": "856-829-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALNUT ST.",
            "address_2": "JEFFERSON UNIVERSITY HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-503-1340",
            "fax_number": "215-503-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD059192L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Gordon, PHD
• Elizabeth Amy Gordon, PH.D.
• Emily K.B. Gordon, MD
• Hannah Gordon
• Jazmine Gordon, CCC-SLP
• Joshua Henry Gordon, MD, PHD
• Judiene Gordon
• Kashon Gordon
• Kristin Marie Gordon, NP
• Laura C Gordon, PHD

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.