Active NPI
John Gordon, D.D.S.
- Dentist
- Islip Terrace, NY
National Provider Identifier
1801999719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044635
- Practice address
- 111 Carleton Ave
Suite 1
Islip Terrace, NY 11752-2236 - Phone
- (631) 581-3500
- Fax
- (631) 581-4723
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 044635 | NY | |
| Dentist | 122300000X | 044635 | NY | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 044635 | NY |
Addresses
Primary practice location
111 Carleton Ave
Suite 1
Islip Terrace, NY 11752-2236
Mailing address
111 Carleton Ave Ste 1
Islip Terrace, NY 11752-2236
Phone (631) 581-3500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044635 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleeping and Snoring Solutions of Long Island | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
| John T Gordon D.D.S., P.C. | Past | Accepting new patients |
Locations
111 Carleton Ave
Ste 1
Islip Terrace, NY 11752
Phone (631) 581-3500
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Islip Terrace, NY
- NPI 1235003716
Durable Medical Equipment & Medical Supplies
-
- Dental Clinic/Center
- Islip Terrace, NY
- NPI 1033657325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1801999719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CARLETON AVE STE 1",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117522236",
"telephone_number": "631-581-3500",
"fax_number": "631-581-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CARLETON AVE",
"address_2": "SUITE 1",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117522236",
"telephone_number": "631-581-3500",
"fax_number": "631-581-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NY",
"license": "044635",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044635",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "044635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islip Terrace, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.