Active NPI
Lawrence Gordon MD PLLC
Doing business as ENT Specialty Care
- Otolaryngology Physician
- Goshen, NY
National Provider Identifier
1841490067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 183723
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CR54 | Other | NY | CDPHP |
| LA0WWT4710 | Other | NY | EMPIRE NEW YORK BC/BS |
Other names 2
- ENT Specialty Care
- LAWRENCE GORDON MD PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Otolaryngology Physician
- Goshen, NY
- NPI 1811970692
-
- Medical Physician Assistant
- Goshen, NY
- NPI 1073897914
-
- Otolaryngology Physician
- Goshen, NY
- NPI 1427381417
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.