MARA GORDON (NPI# 1730575630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730575630 |
| Entity Type | Individual |
| Full Name | MARA GORDON |
| Credential | MD |
| Practice Address |
1865 Harrison Ave Ste 1300 Camden NJ 08105 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8569630126 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA10625600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD046249 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 45th St Ne, Washington, DC 20019 | 2023887891 | |
| 4151 Bladensburg Rd, Colmar Manor, MD 207221928 | 3016997700 | |
| 51 N 39th St, 6 Mutch Building, Philadelphia, PA 191042640 | 2024311325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275787186 | Mara Joan Gordon | Physical Therapist | 221 Nichols St, Carmel, NY 10512-5022 | 2008-11-05 |
| Street Address |
1865 HARRISON AVE STE 1300 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1255892899 | Galia Wilk | Physician Assistant | 1865 Harrison Ave Ste 1300, Camden, NJ 08105-3602 | 2019-03-27 |
| 1205298940 | Isha Marina Di Bartolo | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722016 | Christina Santos | Community Health Worker | 140 North 34 Street, Camden, NJ 08105 | 2016-11-17 |
| 1801276761 | Cramer Hill Home Care Inc. | Home Health | 3213-15 River Rd., Unit D, Camden, NJ 08105 | 2015-06-05 |
| 1053667097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2626 Federal St., Camden, NJ 08105 | 2012-07-27 |
| 1215241393 | Raghu Ram Inc | Pharmacy | 3703 Westfield Ave, Camden, NJ 08105 | 2010-08-02 |
| 1730324880 | Stenell Greene | Counselor | 2940 Waldorf Avenue, Apt A, Camden, NJ 08105 | 2008-12-03 |
| 1407862378 | Ashokkumar Balubhai Patel | Family Medicine | 2827 Westfield Ave., Camden, NJ 08105 | 2006-07-31 |
| 1538126339 | Glenda Rabie | Family Medicine | 309 Marlton Ave, Camden, NJ 08105 | 2006-04-27 |
| 1699765354 | Danielle S. Nordone | Family Medicine | 3156 River Road, Cooper Family Medicine, PC, Camden, NJ 08105 | 2005-10-25 |
| 1851842207 | Viswa Prakash Varma Mantena | Pharmacist | 3213 River Rd, Camden, NJ 08105 | 2016-10-20 |
| 1619387826 | A Better Me | Community/Behavioral Health | 2940 Waldorf Avenue, Apartment A, Camden, NJ 08105 | 2014-04-28 |
| Find all providers in zip 08105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1942658349 | Christina Ferrari | Family Medicine | 800 Cooper St # 4, Camden, NJ 08102-1155 | 2016-05-26 |
| 1528396710 | Benjamin Sommer | Family Medicine | 5 Masonic Ave, Camden, NY 13316-1234 | 2009-11-26 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1043436371 | Susan Gail Fesnak | Family Medicine | 2 Riverside Drive, 1 Port Center, Suite 401, Camden, NJ 08103-1018 | 2007-04-17 |
| 1093834574 | Rollin Wycoff Md | Family Medicine | 2285 Maul Rd, Camden, AR 71701-2511 | 2007-03-28 |
| 1861529430 | Patricia A. Prior | Family Medicine | 326 Penn St, Camden, NJ 08102-1410 | 2007-02-28 |
| 1144365115 | Albemarle Family Practice Pllc | Family Medicine | 160c Hwy 158, Camden, NC 27921-6908 | 2007-02-20 |
| 1811040603 | Center City Medical Associates Pa | Family Medicine | 506 Broadway, Camden, NJ 08103 | 2007-01-18 |
| 1689730343 | Henry Lawrence Morganstein | Family Medicine | 1809 Broadway, Camden, NJ 08104-1333 | 2006-12-28 |
| Find all providers in CAMDEN | ||||
Please comment or provide details below to improve the information on MARA GORDON.
| 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.