Organization Active NPI

Barry Gordon, M.D.,P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1861698672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
097198 Issued in NY
Legal business name
BARRY GORDON, M.D.,P.C.
Practice address
5601 Flatlands Ave # 5
Brooklyn, NY 11234-2501
Phone
(718) 252-2627
Fax
(718) 252-4373
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. E. Barry Gordon, M.D.
Title
President
Phone
(718) 252-2627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 097198 NY Primary

Addresses

Primary practice location

5601 Flatlands Ave # 5
Brooklyn, NY 11234-2501

Mailing address

5601 Flatlands Ave # 5
Brooklyn, NY 11234-2501
Phone (718) 252-2627

National Provider Directory

National Provider Directory

Locations

5601 Flatlands Ave
#5
Brooklyn, NY 11234
Phone (718) 252-2627

6910 Avenue U
Fl 1
Brooklyn, NY 11234

5601 Avenue N
#5
Brooklyn, NY 11234
Phone (718) 252-2627

6910 Avenue U
Ste Le
Brooklyn, NY 11234
Phone (718) 252-2627

4236 Richmond Ave
Staten Island, NY 10312
Phone (718) 227-6222

Practitioners & affiliated clinicians

Practitioners 3

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861698672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 FLATLANDS AVE # 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342501",
            "telephone_number": "718-252-2627",
            "fax_number": "718-252-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 FLATLANDS AVE # 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342501",
            "telephone_number": "718-252-2627",
            "fax_number": "718-252-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY GORDON, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-252-2627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "097198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.