DR. I BRUCE GORDON (NPI# 1174721526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174721526 |
| Entity Type | Individual |
| Full Name | DR. I BRUCE GORDON |
| Credential | MD |
| Practice Address |
120 W 57th St 904 New York NY 10019-3320 |
| Practice Telephone | 2126324520 |
| Practice Fax Number | 2123077896 |
| Mailing Telephone | 2126324520 |
| Mailing Fax Number | 2123077896 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 094231 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
120 W 57TH ST 904 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593580 | Andrea Clark | Counselor | 120 W 57th St, 8th Floor, New York, NY 10019-3320 | 2006-06-07 |
| 1952714743 | Melanie Hong | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-09 |
| 1902219488 | Brooke Marlin | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-03 |
| 1568875045 | Elizabeth Scholom | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-03 |
| 1346574639 | Patrice Carlotta Ryce | Psychologist | 120 W 57th St, 11th Floor, New York, NY 10019-3320 | 2009-09-20 |
| 1386977403 | Sara Petrasso | Psychologist | 120 W 57th St, 10th Floor, New York, NY 10019-3320 | 2009-09-08 |
| 1285967307 | Rachel Ellen Gorman | Psychologist | 120 W 57th St, 10th Floor, New York, NY 10019-3320 | 2009-09-08 |
| 1790916930 | Zoya B Cheskiy | Social Worker | 120 W 57th St, New York, NY 10019-3320 | 2009-08-05 |
| 1568691582 | Meredith Guberman | Social Worker | 120 W 57th St, New York, NY 10019-3320 | 2009-07-12 |
| 1235366188 | Limor Bukspan | Social Worker | 120 W 57th St, 11th Floor, New York, NY 10019-3320 | 2009-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203378 | Private Medical New York, PC | Pediatrics | 110 E 60th St # 808, New York, NY 10022-1688 | 2019-09-04 |
| 1205482452 | Manhattan Valley Pediatrics | Pediatrics | 2637 Broadway, New York, NY 10025-5022 | 2019-08-14 |
| 1891349122 | Amal Khidir | Pediatrics | 445 E 69th St Rm 432, New York, NY 10021-5602 | 2019-07-25 |
| 1154888766 | Amy Leung | Pediatrics | 139 Centre St Ste 314, New York, NY 10013-4554 | 2019-03-01 |
| 1699288795 | Amaranth Pediatric Health, PC | Pediatrics | 210 Canal St Rm 305, New York, NY 10013-4186 | 2017-11-10 |
| 1356862817 | Saroj Choudhary | Pediatrics | 234 E 149th St, Bronx, New York, NY 10451 | 2017-07-05 |
| 1457889487 | Dineeta Kubhar | Pediatrics | 462 1st Ave # Nbv, New York, NY 10016-9196 | 2017-06-03 |
| 1619320835 | Winston Yuen | Pediatrics | 286 South St Apt 14a, New York, NY 10002-8081 | 2016-07-22 |
| 1558714584 | Moonlight Pediatrics of Nyc, P.C. | Pediatrics | 111 W 25th St, New York, NY 10001-7243 | 2016-07-14 |
| 1992153787 | Charlyn Marie Laserna | Pediatrics | 1000 10th Ave Ste 11g, New York, NY 10019-1147 | 2016-06-02 |
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| 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.