Active NPI
Jack M Gorman, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1700879087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 134700
- Practice address
- 1425 Madison Ave
Box 1230
New York, NY 10029 - Phone
- (212) 659-8763
- Fax
- (212) 860-3945
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 134700 | NY | Primary |
Addresses
Primary practice location
1425 Madison Ave
Box 1230
New York, NY 10029
Mailing address
2700 Arlington Ave
Bronx, NY 10463
Phone (718) 601-2927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700879087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 ARLINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "10463",
"telephone_number": "718-601-2927",
"fax_number": "212-860-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MADISON AVE",
"address_2": "BOX 1230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-659-8763",
"fax_number": "212-860-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "JACK",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "134700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.