DR. CHARLES RICHARD GORDON (NPI# 1326049529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326049529 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD GORDON |
| Credential | M.D. |
| Practice Address |
200 Cabrini Blvd Suite 17 New York NY 10033-1100 |
| Practice Telephone | 2129280555 |
| Practice Fax Number | 2127402934 |
| Mailing Telephone | 2129280555 |
| Mailing Fax Number | 2127402934 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
140363 | NY | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 140363 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692769 | Charles Gordon | Physical Therapist | 29 Center St Ste 1, Goffstown, NH 03045-2948 | 2015-03-03 |
| 1811019268 | Charles Thomas Gordon IIi | Psychiatry & Neurology | 11204 Farmland Dr, Rockville, MD 20852-4522 | 2007-04-05 |
| 1821103631 | Charles Albert Gordon | Physical Medicine & Rehabilitation | 1059 S Fairfax Ave, Los Angeles, CA 90019-4402 | 2006-08-20 |
| 1831164722 | Charles G. Gordon | Dentist | 1026 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2006-02-22 |
| 1649243890 | Charles F Gordon | Anesthesiology | 9 Old Plank Rd Ste 100, Clifton Park, NY 12065-3107 | 2006-02-08 |
| 1750858700 | Charles Gordon | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2018-10-29 |
| 1134642655 | Charles Gordon | Nurse Anesthetist, Certified Registered | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2017-07-18 |
| 1114382025 | Charles Gordon Jr. | Physician Assistant | 315 S Manning Blvd, Albany, NY 12208-1707 | 2015-12-18 |
| 1275825135 | Charles Marvin Gordon Jr. | Orthopaedic Surgery | 1505 Daphne Ave, Daphne, AL 36526 | 2011-05-11 |
| 1841405743 | Charles Robert Gordon | Specialist/Technologist | 3910 Teays Valley Rd, Hurricane, WV 25526-9756 | 2007-05-14 |
| Street Address |
200 CABRINI BLVD SUITE 17 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982755815 | Susan Kalev | Social Worker | 200 Cabrini Blvd, #17, New York, NY 10033-1100 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
| Find all providers in zip 10033 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093224107 | Jenny Liu | Family Medicine | 1320 York Ave Apt 19b, New York, NY 10021-4860 | 2017-09-21 |
| 1396211918 | Manhattan Medical Arts, Pllc | Family Medicine | 123 W 20th St, New York, NY 10011-3639 | 2018-10-22 |
| 1285993956 | Ocean Medical Plus PC | Family Medicine | 315 E 105th St, Suite 104, New York, NY 10029-5000 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972848307 | A Merryland Operating LLC | Family Medicine | 1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 | 2012-12-12 |
| 1598844433 | Yefim Isaac Sosonkin | Family Medicine | 2221 Ocean Ave, Brooklyn, NY 11229-2303 | 2006-11-02 |
| 1861402273 | Melissa L. Trazzera | Family Medicine | 470 Woodbury Rd, Cold Spring Harbor, NY 11724-2234 | 2006-08-08 |
| 1063447878 | Valery Bayshtok | Family Medicine | 9905 63rd Dr, Rego Park, NY 11374-2450 | 2006-07-11 |
| 1841286325 | Denise Octaviani | Family Medicine | 1223 N Salina St, Syracuse, NY 13208-1519 | 2005-09-21 |
| 1275525040 | Harlee A Fried | Family Medicine | 28 Rykowski Ln, Middletown, NY 10941-4018 | 2005-08-18 |
| 1932699709 | Medea Medical PC | Family Medicine | 6829 Springfield Blvd, Oakland Gdns, NY 11364-2632 | 2018-05-16 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1548393150 | Vinay J Shah | Family Medicine | 1211 White Plains Rd, Bronx, NY 10472-4900 | 2007-03-13 |
| 1144309808 | Martha Arden | Family Medicine | 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042-2061 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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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.