CLIFFORD AVERY GORDON (NPI# 1720089816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720089816 |
| Entity Type | Individual |
| Full Name | CLIFFORD AVERY GORDON |
| Credential | MD |
| Practice Address |
13 Donald Ct Wayne NJ 07470-4608 |
| Practice Telephone | 8622204000 |
| Practice Fax Number | 2018152000 |
| Mailing Telephone | 8622204000 |
| Mailing Fax Number | 2018152000 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA02315800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465713 | Clifford Wayne Gordon Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1942306675 | Clifford I Gordon | Psychologist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2006-09-16 |
| Street Address |
13 DONALD CT |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174649289 | Jonathon Scott Stillman | Internal Medicine | 1825 State Route 23, Wayne, NJ 07470-7510 | 2007-03-21 |
| 1669453817 | North Jersey Medical Practice Associates PC | Internal Medicine | 502 Hamburg Tpk, Suite 108, Wayne, NJ 07470 | 2005-11-07 |
| 1154322246 | Robert David Shlien | Internal Medicine | 1777 Hamburg Turnpike, Suite 305, Wayne, NJ 07470-5211 | 2005-08-10 |
| 1992048722 | David M Pinn | Internal Medicine | 1825 State Route 23, Wayne, NJ 07470-7526 | 2013-03-29 |
| 1639338783 | Oren Bernheim | Internal Medicine | 246 Hamburg Tpke, Suite 203, Wayne, NJ 07470-2156 | 2008-06-04 |
| 1174735617 | North Jersey Digestive Healthcare P.a. | Internal Medicine | 931 Hamburg Turnpike, Wayne, NJ 07470 | 2007-05-04 |
| 1770705147 | North Jersey Digestive Endoscopy, LLC | Internal Medicine | 931 Hamburg Turnpike, Wayne, NJ 07470 | 2007-05-03 |
| 1497756589 | Lisa Deborah Stevens | Internal Medicine | 1777 Hamburg Turnpike, Suite 305, Wayne, NJ 07470-5243 | 2005-08-10 |
| 1578565552 | Gastrointestinal Group of North Jersey Pa | Internal Medicine | 1777 Hamburg Turnpike, Suite 305, Wayne, NJ 07470 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843483 | Alok Goyal, M.d. | Internal Medicine | 2509 Park Ave Ste 1a, South Plainfield, NJ 07080-5300 | 2020-05-21 |
| 1386111524 | Premier Gastroenterology of Hamilton | Internal Medicine | 2271 Route 33 Ste 110, Hamilton, NJ 08690-1749 | 2018-10-25 |
| 1063908739 | Hemorrhoids Usa Pa | Internal Medicine | 300b Princeton Hightstown Rd Ste 206a, East Windsor, NJ 08520-1400 | 2018-07-06 |
| 1275038499 | Srinivas Madane LLC | Internal Medicine | 33 Ridgeline Dr, Long Valley, NJ 07853-3376 | 2018-03-28 |
| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1326553033 | Richard G Pizzano | Internal Medicine | 135 Bloomfield Ave Ste K, Bloomfield, NJ 07003-5902 | 2017-12-05 |
| 1609387109 | Medigest Healthcare Services LLC | Internal Medicine | 1030 Saint Georges Ave Ste 103a, Avenel, NJ 07001-1330 | 2017-10-24 |
| 1306372578 | Advocare Allied Gastrointestinal Associates | Internal Medicine | 401 Route 73 N, Bldg 10, Ste 320, Lake Center Executive Park, Marlton, NJ 08053 | 2017-05-10 |
| 1144779133 | East Brunswick Endoscopy Center Inc | Internal Medicine | 385 Highway 18, East Brunswick, NJ 08816-5703 | 2016-10-01 |
| 1841651965 | Kovil Ramaswamy Md Pa | Internal Medicine | 534 Avenue E Ste 1-a, Bayonne, NJ 07002-3987 | 2016-03-17 |
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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.