Individual provider Active NPI

Lawrence Jay Gordon, MD

  • Otolaryngology Physician
  • Goshen, NY
National Provider Identifier
1811970692
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
183723 Issued in NY
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

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
116999OtherNYWELLCARE
0182804OtherGHI
040007473OtherNYRAILROAD MEDICARE
3824829OtherOXFORD
384148POtherNYHIP
10035906OtherNYCDPHP
4572033OtherNYAETNA
8M7342OtherBCBS NY
10000172090012OtherAFFINITY HEALTH PLAN
120076OtherNYGHI HMO
01515700MedicaidNY
047123OtherNYMVP
ZE3167OtherHEALTHNET 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000756 NY Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 4688647548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Columbia University College of Physicians and Surgeons, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Gordon MD PLLCGroup PAC ID 9830280874, 2 clinicians

Practice addresses (Care Compare)

2004 Route 17M
Goshen, NY 10924-5210
Phone (845) 294-0661

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as individual
Quality
87.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183723NYMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Gordon MD PLLC Otolaryngology CurrentSince Aug 18, 2004 Accepting new patients
Lawrence Gordon MD PLLC Current Accepting new patients
ENT and Allergy Associates LLP Otolaryngology PastSince Mar 1, 2019 Accepting new patients
Horizon Medical Group, P.C. PastSince Aug 17, 2025 Accepting new patients
Hudson Valley Ear, Nose & Throat, P. C. Otolaryngic Allergy PastSince Aug 18, 2004 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.