DR. SAMANTHA GORDON (NPI# 1750608030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750608030 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA GORDON |
| Credential | M.D. |
| Practice Address |
27005 76th Ave New Hyde Park NY 11040-1402 |
| Mailing Address |
3312 28th St Apt 2 Astoria NY 11106-3447 |
| Practice Telephone | 7184704585 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
60251605 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1639435365 | Samantha Gordon | Occupational Therapist | 132-15 218th St, Springfield Gardens, NY 11413 | 2012-04-06 |
| 1568982585 | Samantha Gordon | Behavior Technician | 201 International Cir, Hunt Valley, MD 21030-1304 | 2017-06-21 |
| 1871942177 | Samantha Claire Gordon | Dermatology | 800 Washington St, Boston, MA 02111-1552 | 2016-06-07 |
| Street Address |
27005 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950817 | Maria C Adragna | Anesthesiology | 27005 76th Ave, New Hyde Park, NY 11040-1433 | 2005-05-31 |
| 1730789538 | Daniela Farzadfar | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-29 |
| 1669072096 | Barbara Barsoum | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-26 |
| 1962000547 | Dana Rucco | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-10-15 |
| 1407454200 | Jessica Marie Maas | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-14 |
| 1407463318 | Lori Ohanesian | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-24 |
| 1063029106 | Nicole Mulvey | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-23 |
| 1528674314 | William Christopher Arthur | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-17 |
| 1508470238 | Kiara Goldwag | Registered Nurse | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-01 |
| 1710590948 | Laura Calcagni | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639448020 | Ali Saleem | Radiology | 1301 Lowell Ave, New Hyde Park, NY 11040-4246 | 2011-12-14 |
| 1528355914 | Frances M. Vernace | Radiology | 39 Windsor Gate Drive, New Hyde Park, NY 11040 | 2011-07-06 |
| 1669764874 | James Park | Radiology | 6 Ohio Dr Ste 204, New Hyde Park, NY 11042-1129 | 2011-05-05 |
| 1326275777 | Mahendra Sharma Md PC | Radiology | 15 Knolls Drive, New Hyde Park, NY 11040-1110 | 2009-06-12 |
| 1023188471 | Alan Johnson | Radiology | Lij Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1386714731 | Barak Friedman | Radiology | Lijmc-department of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1710057849 | David Siegel | Radiology | Lijmc-dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1659441798 | Diane Wilkinson | Radiology | Lijmc-dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1871663930 | John Hines | Radiology | Lijmc - Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1023188158 | Edward Wind | Radiology | Lijmc - Dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on DR. SAMANTHA 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.