Active NPI
Jonathan C Gordon, MD
- Orthopaedic Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 217385
- Practice address
- 55 E 34TH St
New York, NY 10016-4337 - Phone
- (212) 252-6182
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 217385 | NY | Primary |
Addresses
Primary practice location
55 E 34TH St
New York, NY 10016-4337
Mailing address
PO Box 95000-2454
Philadelphia, PA 19195-2454
Phone (212) 252-6182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02217132 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Hahnemann University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500
Hospital & facility affiliations
- Caretenders
- Mount Sinai Beth Israel
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217385 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Orthopaedic Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Docs Physicians Affiliated With Bimc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600
141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
150 E 42nd St
#5
New York, NY 10017
Phone (212) 523-5898
55 E 34th St
Fl 3
New York, NY 10016
Phone (212) 252-6076
55 E 34th St
Fl 5
New York, NY 10016
Phone (212) 252-6005
2422 Central Park Ave
Yonkers, NY 10710
Phone (914) 779-2995
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
Orthopaedic Surgery
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Practice Physician
- New York, NY
- NPI 1821016692
Orthopaedic Surgery
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- Home Health Agency
- Needham Heights, MA
- NPI 1396929048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1720051006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2454",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952454",
"telephone_number": "212-252-6182",
"fax_number": "212-252-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164337",
"telephone_number": "212-252-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JONATHAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "217385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02217132",
"state": "NY"
}
],
"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 Sep 25, 2012; 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.