Organization Active NPI

P.D.Gor MD PA.

  • Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1750460119
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
P.D.GOR MD PA.
Practice address
149 Palisade Avenue
P.D.Gor MD PA
Jersey City, NJ 07306
Phone
(201) 792-5151
Fax
(201) 792-5159
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Pradip Gor, M.D.
Title
President
Phone
(201) 792-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

149 Palisade Avenue
P.D.Gor MD PA
Jersey City, NJ 07306

Mailing address

149 Palisade Avenue
P.D.Gor MD PA
Jersey City, NJ 07306
Phone (201) 792-5151

Other identifiers 1

IdentifierTypeStateIssuer
2791200MedicaidNJ

National Provider Directory

National Provider Directory

Locations

149 Palisade Ave
Jersey City, NJ 07306
Phone (201) 792-5151

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1750460119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PALISADE AVENUE",
            "address_2": "P.D.GOR MD PA",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-5151",
            "fax_number": "201-792-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PALISADE AVENUE",
            "address_2": "P.D.GOR MD PA",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-5151",
            "fax_number": "201-792-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.D.GOR MD PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "GOR",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-792-5151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.