Organization Active NPI

Richard D Gordon, M.D., P.a.

  • Rheumatology Physician
  • Langhorne, PA
National Provider Identifier
1891712816
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RICHARD D GORDON, M.D., P.A.
Practice address
380 Middletown Blvd
Suite 704
Langhorne, PA 19047-1845
Phone
(215) 757-5665
Fax
(215) 757-3128
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Judith S Gordon
Title
Practice Administrator
Phone
(215) 757-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

380 Middletown Blvd
Suite 704
Langhorne, PA 19047-1845

Mailing address

380 Middletown Blvd
Suite 704
Langhorne, PA 19047-1845
Phone (215) 757-5665

Other identifiers 1

IdentifierTypeStateIssuer
07650482MedicaidPA

National Provider Directory

National Provider Directory

Locations

380 Middletown Blvd
Ste 704
Langhorne, PA 19047
Phone (215) 757-5665

Practitioners & affiliated clinicians

Practitioners 1

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1891712816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE 704",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-757-5665",
            "fax_number": "215-757-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE 704",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-757-5665",
            "fax_number": "215-757-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D GORDON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-757-5665"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07650482",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.