PETER ELIOT GORDON


Address: 218 Baltic St, Brooklyn, NY 11201-6620
Phone: 7188666521

PETER ELIOT GORDON (NPI# 1154316230) 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) 1154316230
Entity Type Individual
Full Name PETER ELIOT GORDON
Credential M.D.
Practice Address 218 Baltic St
Brooklyn
NY 11201-6620
Practice Telephone 7188666521
Practice Fax Number 7186665212
Mailing Telephone 7188666521
Mailing Fax Number 7186665212
Enumeration Date 2005-09-15
Last Update Date 2015-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
203705 NY Allopathic & Osteopathic Physicians

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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
1558565085 Peter M Gordon Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2007-06-11
1093838856 Peter Gregory Gordon Internal Medicine 622 W 168th St, New York, NY 10032-3720 2007-04-09
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 218 BALTIC ST
City BROOKLYN
State NY
Zip Code 11201-6620

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NPI Name Taxonomy Address Enumeration
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1760017842 New York University Dentist 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 2020-03-09
1851924294 Tbhc Medical Services PC Clinic/Center 514 Fulton Street, Brooklyn, NY 11201 2020-02-13
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1316501380 Alice Weijia Huang Social Worker 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 2019-04-25
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477115251 Wyckoff Heights Medical Center Emergency Medicine 374 Stockholm St, Brooklyn, NY 11237-4006 2019-07-02
1831552405 Wells Brambl Emergency Medicine 4802 10th Ave, Brooklyn, NY 11219-2916 2016-04-01
1992116701 Ag Urgent Care, P.C. Emergency Medicine 1349 Broadway, 1st Floor, Brooklyn, NY 11221-3618 2014-05-14
1629323522 D'artagnan Francois Hinds Emergency Medicine 506 6th St, Brooklyn, NY 11215-3609 2012-07-17
1093003501 Samuel Ayala Emergency Medicine 506 6th St, Methodist Hospital Emergency Department, Brooklyn, NY 11215-3609 2011-07-18
1821314022 Emergency Providers of Imc Emergency Medicine 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2010-04-13
1386804318 Markus Little Emergency Medicine 451 Clarkson Ave, Emergency Department, Brooklyn, NY 11203-2057 2008-06-12
1689871527 Fiona Elise Barriac Emergency Medicine 4802 10th Ave, Brooklyn, NY 11219-2916 2007-07-02
1336344035 Aisha Cupid Emergency Medicine 800 Poly Pl, Brooklyn, NY 11209-7104 2007-06-20
1669675070 Bimc Faculty Practice Emergency Medicine 3201 Kings Hwy, Brooklyn, NY 11234-2625 2007-06-06
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Competitor

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City BROOKLYN
Zip Code 11201

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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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