Active NPI
Lawrence Jay Gordon, MD
- Otolaryngology Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 183723
- Practice address
- 2004 Route 17M
Goshen, NY 10924-5210 - Phone
- (845) 294-0661
- Fax
- (845) 818-9646
- NPI assigned
- Nov 25, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 183723 | NY | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 183723 | NY | |
| Otolaryngic Allergy Physician | 207YX0602X | 183723 | NY |
Addresses
Primary practice location
2004 Route 17M
Goshen, NY 10924-5210
Mailing address
2004 Route 17M
Goshen, NY 10924-5210
Phone (845) 294-0661
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116999 | Other | NY | WELLCARE |
| 0182804 | Other | GHI | |
| 040007473 | Other | NY | RAILROAD MEDICARE |
| 3824829 | Other | OXFORD | |
| 384148P | Other | NY | HIP |
| 10035906 | Other | NY | CDPHP |
| 4572033 | Other | NY | AETNA |
| 8M7342 | Other | BCBS NY | |
| 10000172090012 | Other | AFFINITY HEALTH PLAN | |
| 120076 | Other | NY | GHI HMO |
| 01515700 | Medicaid | NY | |
| 047123 | Other | NY | MVP |
| ZE3167 | Other | HEALTHNET OF NORTHEAST |
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
- Otolaryngology
- Education
- Columbia University College of Physicians and Surgeons, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2004 Route 17M
Goshen, NY 10924-5210
Phone (845) 294-0661
Hospital & facility affiliations
- Garnet Health Medical Center
- St Anthony Community Hospital
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.53 of 100
- Quality
- 87.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183723 | NY | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Gordon MD PLLC | Otolaryngology | Current | Accepting new patients |
| Lawrence Gordon MD PLLC | Current | Accepting new patients | |
| ENT and Allergy Associates LLP | Otolaryngology | Past | Accepting new patients |
| Horizon Medical Group, P.C. | Past | Accepting new patients | |
| Hudson Valley Ear, Nose & Throat, P. C. | Otolaryngic Allergy | Past | Accepting new patients |
Locations
2004 Route 17M
Goshen, NY 10924
Phone (845) 294-0661
3 Medical Park Dr
Pomona, NY 10970
Phone (845) 362-1070
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Otolaryngology Physician
- Goshen, NY
- NPI 1841490067
-
- Otolaryngology/Facial Plastic Surgery Physician
- Vernon, NJ
- NPI 1386968220
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
-
- Otolaryngic Allergy Physician
- Middletown, NY
- NPI 1629059365
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1811970692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 ROUTE 17M",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245210",
"telephone_number": "845-294-0661",
"fax_number": "845-818-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 ROUTE 17M",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245210",
"telephone_number": "845-294-0661",
"fax_number": "845-818-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LAWRENCE",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "183723",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "183723",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NY",
"license": "183723",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "116999",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0182804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040007473",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "3824829",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "384148P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10035906",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4572033",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NY",
"identifier": "8M7342",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PLAN",
"identifier": "10000172090012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "120076",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01515700",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "047123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF NORTHEAST",
"identifier": "ZE3167",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.