Gordon D Donald III, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MA46751 Issued in NJ

Practice address

234 Industrial Way W
Suite A200
Eatontown, NJ 07724-4244

Phone

(732) 747-7110

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Professional Orthopaedic Assoc PA

  • Orthopaedic Surgery Physician
  • Tinton Falls, NJ
  • NPI 1669459855
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1912936162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "BUILDING A SUITE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-747-7110",
            "fax_number": "732-747-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "SUITE A200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-747-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "GORDON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "MA46751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Dilorenzo, M.D.
• Laura Ann Dimartino, LAC
• Marie Dimatteo, LPC
• Leonard R Disla, DPT
• Amanda Doerr
• Latsaha Capri Donaldson
• Melissa Lauren Dorsky, MSW
• Double Eagle Performance
• Barbara Ellen Dougherty, LCSW
• Dove Counseling Services, LLC

• Orthopaedic Surgery of the Spine Physician in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.