NPIMap

Organization Active NPI

David Gordon

  • Foot & Ankle Surgery Podiatrist
  • Dover, NJ
National Provider Identifier
1942474960
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00285200 Issued in NJ
Legal business name
DAVID GORDON
Practice address
77 Union St
Dover, NJ 07801-4030
Phone
(973) 442-1144
Fax
(973) 366-3600
NPI assigned
Apr 22, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
David Jeffrey Gordon, D.P.M.
Title
Podiatrist
Phone
(917) 520-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00285200 NJ Primary

Addresses

Primary practice location

77 Union St
Dover, NJ 07801-4030

Mailing address

77 Union St
Dover, NJ 07801-4030
Phone (973) 442-1144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1942474960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 UNION ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014030",
            "telephone_number": "973-442-1144",
            "fax_number": "973-366-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 UNION ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014030",
            "telephone_number": "973-442-1144",
            "fax_number": "973-366-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "917-520-2850",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00285200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.