Organization Active NPI

Lawrence Gordon MD PLLC

Doing business as ENT Specialty Care

  • Otolaryngology Physician
  • Goshen, NY
National Provider Identifier
1841490067
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
Legal business name
LAWRENCE GORDON MD PLLC
Doing business as
ENT Specialty Care
Lawrence Gordon MD PLLC
Practice address
2004 Route 17M
Goshen, NY 10924-5210
Phone
(845) 294-0661
NPI assigned
Jul 25, 2007
Organization subpart
No

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

Authorized official

Name
Dr. Lawrence Jay Gordon, M.D.NPI 1811970692
Title
Member
Phone
(845) 294-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 183723 NY Primary

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 2

IdentifierTypeStateIssuer
CR54OtherNYCDPHP
LA0WWT4710OtherNYEMPIRE NEW YORK BC/BS

Other names 2

  • ENT Specialty Care Doing business as
  • LAWRENCE GORDON MD PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000782 NY Part B Supplier - Clinic/Group Practice 9830280874 Receives reassigned benefits from 3 practitioners
Practice locations: Goshen, NY

National Provider Directory

National Provider Directory

Locations

30 Matthews St
Ste 105
Goshen, NY 10924
Phone (845) 294-0661

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1841490067",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE GORDON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-294-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "183723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "CR54",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE NEW YORK BC/BS",
            "identifier": "LA0WWT4710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAWRENCE GORDON MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.