DR. STEPHEN GORDON (NPI# 1821057704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821057704 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN GORDON |
| Credential | MD |
| Practice Address |
3959 Broadway Columbia University Department Pediatrics New York NY 10032-1559 |
| Mailing Address |
72 Park Ter W New York NY 10034-1351 |
| Practice Telephone | 2123047250 |
| Mailing Telephone | 6467963293 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
195143 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01487503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114340064 | Stephen R Gordon | Pharmacist | 17823 Cricket Hill Dr, Germantown, MD 20874-3462 | 2014-01-29 |
| 1528388956 | Stephen Thomas Gordon | Chiropractor | 1719 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2010-06-08 |
| 1992824361 | Stephen Gordon | Obstetrics & Gynecology | 49 Islanders Retreat, Savannah, GA 31411-2941 | 2007-03-28 |
| 1487673018 | Stephen Gordon | Internal Medicine | 7318 Green Oak Ter, Lanham, MD 20706-3843 | 2006-07-18 |
| 1114954146 | Stephen Jerome Gordon | Dentist | 8 South Michigan Avenue, Suite 1800, Chicago, IL 60603-3357 | 2006-06-26 |
| 1023012523 | Stephen M Gordon | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2005-06-13 |
| 1043610785 | Stephen Gordon | Behavioral Analyst | 324 Newburyport Ave, Altamonte Springs, FL 32701-3645 | 2014-08-31 |
| 1295009694 | Stephen Timothy Gordon | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305 | 2012-03-02 |
| 1609009711 | Stephen Elliot Gordon | Internal Medicine | 330 Brookline Ave, Deaconess 307, Boston, MA 02215-5400 | 2009-08-24 |
| 1093849820 | Stephen Winslow Gordon | Plastic Surgery | 3186 S Maryland Pkwy, Las Vegas, NV 89109 | 2007-03-15 |
| Street Address |
3959 BROADWAY COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453647 | Karen Altmann | Pediatrics | 3959 Broadway, 2north, New York, NY 10032-1559 | 2005-08-10 |
| 1619575271 | Ismail Bouhout | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3959 Broadway, Chn-274, Pediatric and Congenital Cardiac Surgery, New York, NY 10032 | 2020-10-15 |
| 1104433366 | Rebecca Silverman | Social Worker | 3959 Broadway, New York, NY 10032-1559 | 2020-09-30 |
| 1508473679 | Alexa Rose Geltzeiler | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-09-23 |
| 1518571967 | Melody Cabalda-galliguez | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-09-02 |
| 1003424318 | Hae Lin Son | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-07-22 |
| 1164049318 | Stephanie Galloway | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-07-02 |
| 1730702556 | Erica Shirin Spiegel | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-05-27 |
| 1235751967 | Alexander Edward Joseph Zajac | Registered Nurse | 3959 Broadway, New York, NY 10032-1559 | 2020-05-15 |
| 1427679083 | Ashley Clarke | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720496607 | Anthony Sheung Lai Yuen | Pediatrics | 525 E 68th St # 179, New York, NY 10065-4870 | 2014-07-24 |
| 1629390315 | Inna Elikashvili | Pediatrics | 462 1st Ave Ste A345, New York, NY 10016-9196 | 2010-02-22 |
| 1073741377 | Selin Tuysuzoglu Sagalowsky | Pediatrics | 3959 Broadway # Chn-1116, New York, NY 10032-1559 | 2009-06-24 |
| 1053546242 | Heather Elizabeth Giambo | Pediatrics | 16th St and First Ave, Emergency Medicine, New York, NY 10009 | 2009-05-18 |
| 1699720805 | Bernadette Clement | Pediatrics | 2235 Frederick Douglass Blvd, Harlem Pediatric Associates, New York, NY 10027-6175 | 2006-05-24 |
| 1093777609 | Marino Torres | Pediatrics | 135 Haven Ave, New York, NY 10032-1131 | 2006-04-06 |
| 1427017235 | Maria M Molina | Pediatrics | 3421 Broadway, New York, NY 10031-7404 | 2006-03-21 |
| 1194784074 | Abu N.g.a. Khan | Pediatrics | 622 W 168th St Ph 137, Columbia University Department Pediatrics, New York, NY 10032-3720 | 2006-03-21 |
| 1336111756 | Joseph Richter | Pediatrics | Columbia University Department of Pediatrics, Ph 1-137, New York, NY 10032 | 2006-02-02 |
| 1467014720 | Jerri Alyssa Miller | Pediatrics | 3959 Broadway, New York, NY 10032-1559 | 2019-07-07 |
| Find all providers in NEW YORK | ||||
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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.