DR. PETER GREGORY GORDON


Address: 622 W 168th St, New York, NY 10032-3720
Phone: 2123059369

DR. PETER GREGORY GORDON (NPI# 1093838856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093838856
Entity Type Individual
Full Name DR. PETER GREGORY GORDON
Credential M.D.
Practice Address 622 W 168th St
New York
NY 10032-3720
Mailing Address 630 W 168th St # 4
New York
NY 10032-3725
Practice Telephone 2123059369
Enumeration Date 2007-04-09
Last Update Date 2012-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 188525 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01811201 05

Other Providers PETER GORDON

NPI Name Taxonomy Address Enumeration
1568745677 Peter F Gordon Family Medicine Avenida Los Tules 116, Int 14, Colonia Diaz Ordaz, Puerto Vallarta, JALISCO 48310 2011-09-25
1932244662 Peter Michael Gordon Counselor 4030 E Broadway, Long Beach, CA 90803-1502 2007-02-20
1154316230 Peter Eliot Gordon Emergency Medicine 218 Baltic St, Brooklyn, NY 11201-6620 2005-09-15
1558565085 Peter M Gordon Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2007-06-11
1205956109 Peter Gordon Physical Therapist 349 W Commercial St, Ste 1275, E Rochester, NY 14445-2407 2007-04-02
1114070349 Peter G Gordon Dentist 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557 2007-01-19
1568540342 Peter W. Gordon Internal Medicine 280 W Macarthur Blvd, Oakland, CA 94611-5642 2006-11-01
1679525141 Peter H Gordon Radiology 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 2006-05-16
1831158955 Peter T Gordon Internal Medicine 259 Main St, Yarmouth, ME 04096-6723 2006-03-18
1992706683 Peter Alfred Gordon Ophthalmology 1457 Scott Blvd, Decatur, GA 30030-1705 2005-08-03

Office Location

Street Address 622 W 168TH ST
City NEW YORK
State NY
Zip Code 10032-3720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982608493 Eastside Orthotics and Prosthetics, Inc. Durable Medical Equipment & Medical Supplies 622 W 168th St, Vc333, New York, NY 10032 2005-06-13
1790386399 Carl Elliston Radiology 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 2020-11-02
1275140758 Alyssa Hope Diaz Nurse Practitioner 622 W 168th St, New York, NY 10032-3720 2020-09-28
1295341873 Ann Mchugh Obstetrics & Gynecology 622 W 168th St, New York, NY 10032-3720 2020-09-19
1821604778 Kellie Kolessar Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-09-16
1912525833 Fanny Ok Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-07-07
1982221644 Ashley D Gandhi Physician Assistant 622 W 168th St, New York, NY 10032-3720 2020-06-29
1891311080 Demond Harrison Respiratory Therapist, Registered 622 W 168th St, New York, NY 10032-3720 2020-06-23
1073136115 Dennis Man Pharmacist 622 W 168th St, New York, NY 10032-3720 2020-05-23
1205457801 Adam Sands Student in an Organized Health Care Education/Training Program 622 W 168th St, New York, NY 10032-3720 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
Find all providers in zip 10032

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699376491 Unico Ipa LLC Internal Medicine 202 Canal St # 500, New York, NY 10013-4517 2020-11-06
1295341535 Reside Health Medical Group, Pllc Internal Medicine 520 Broadway Fl 4, New York, NY 10012-4436 2020-09-22
1295348019 Vault Medical Group Pa Internal Medicine 133 E 58th St Ste 512, New York, NY 10022-1145 2020-08-31
1205447745 Princeton Longevity Medical of New York Pllc Internal Medicine 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 2020-08-10
1558971929 New Jersey Birdie Health PC Internal Medicine 330 E 38th St Apt 15c, New York, NY 10016-2769 2020-07-31
1972112456 Daniel William Fitzgerald Internal Medicine 402 E 67th St Fl 2, New York, NY 10065-6304 2020-07-30
1346858222 Sowell Health PC Internal Medicine 308 E 38th St Ste 200, New York, NY 10016-9825 2020-07-16
1417574062 Bob Yeon Shim Internal Medicine 330 W 145th St Apt 605, New York, NY 10039-3095 2020-06-30
1891319810 Careathome Medical Practice, PC Internal Medicine 287 Park Ave S Fl 3, New York, NY 10010-4573 2020-06-05
1487276473 Alinea Medical Associates PC Internal Medicine 205 E 69th St Apt 1b, New York, NY 10021-5437 2020-05-12
Find all providers in NEW YORK

Competitor

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City NEW YORK
Zip Code 10032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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