DR. MARK HOWARD GORDON (NPI# 1396734331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396734331 |
Entity Type | Individual |
Full Name | DR. MARK HOWARD GORDON |
Credential | DDS |
Practice Address |
15 Fletcher Ave Valley Stream NY 11580-4000 |
Practice Telephone | 5165611577 |
Practice Fax Number | 5165611577 |
Mailing Telephone | 5165611577 |
Mailing Fax Number | 5165611577 |
Enumeration Date | 2005-10-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
036092 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00717506 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497183404 | Mark Gordon | Homemaker | 16938 S Dixie Hwy, Palmetto Bay, FL 33157-4354 | 2013-10-30 |
1750409629 | Mark A Gordon | Physician Assistant | 13601 Wood Forest Blvd, Houston, TX 77015 | 2007-03-27 |
1356365126 | Mark Richard Gordon | Dentist | 2121 Eisenhower Ave, Suite 502, Alexandria, VA 22314-4698 | 2006-07-26 |
1568420099 | Mark Jay Gordon | Optometrist | 978 Colvin Blvd, Kenmore, NY 14217-2128 | 2006-05-03 |
1386643740 | Mark J Gordon | Dentist | 4121 W 83rd St, Suite 212, Prairie Village, KS 66208-5300 | 2005-07-19 |
1528489184 | Mark Gordon | Nurse Anesthetist, Certified Registered | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2013-12-30 |
1841576543 | Mark Gordon | Pharmacist | 1305 N Casaloma Dr, Grand Chute, WI 54913-8848 | 2011-10-25 |
1306987946 | Mark Lorry Gordon | Family Medicine | 16661 Ventura Blvd, Suite 716, Encino, CA 91436-1914 | 2007-02-08 |
1891869202 | Mark Gordon | Optometrist | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1364 | 2006-11-17 |
1821028382 | Mark B Gordon | Optometrist | 100 Park Ave, Baltimore, MD 21201-3416 | 2006-07-03 |
Street Address |
15 FLETCHER AVE |
City | VALLEY STREAM |
State | NY |
Zip Code | 11580-4000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033665013 | Valley Stream Medical Associates, P.C. | Internal Medicine | 15 Fletcher Ave, Valley Stream Medical Associates, P.C., Valley Stream, NY 11580-4000 | 2016-08-30 |
1801288030 | Chiroquest Chiropractic PC | Chiropractor | 15 Fletcher Ave, #7, Valley Stream, NY 11580-4000 | 2015-02-25 |
1245575448 | Li Premier Medical Care Pllc | Surgery | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2012-11-29 |
1447316476 | Linda Patricia Longo-lockspeiser | Specialist | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2006-12-27 |
1679635833 | Rafael C Hernandez | Surgery | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2006-12-14 |
1588726715 | Victor Hugo Taranto | Surgery | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2006-12-14 |
1710080502 | Dolores Brandt | Psychologist | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2006-09-07 |
1578670196 | Robert Hoffmann | Chiropractor | 15 Fletcher Ave, #7, Valley Stream, NY 11580-4000 | 2006-08-23 |
1114933918 | Roman Peter Urbanczyk | Internal Medicine | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
Find all providers in zip 11580 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316343346 | Deleon Dental Office | Dentist | 155 E Merrick Rd, Valley Stream, NY 11580-5925 | 2014-11-19 |
1124440516 | Robert J Garofalo Dds PC | Dentist | 99 Rockaway Ave, Valley Stream, NY 11580-5810 | 2014-01-20 |
1679871669 | Jay Ritter Dds & Frederic Cohen Dmd | Dentist | 44 S Central Ave, Valley Stream, NY 11580-5432 | 2011-03-01 |
1881911816 | Sarah Berkowitz Dienstag | Dentist | 696 Hungry Harbor Rd, Valley Stream, NY 11581-3039 | 2010-04-30 |
1093045361 | Igor Ilyabayev D.d.s., P.C. | Dentist | 139 N Central Ave Ste 3, Valley Stream, NY 11580-3859 | 2010-01-07 |
1003047093 | Norman Kaufman | Dentist | 618 Golf Dr, Valley Stream, NY 11581-3550 | 2009-08-07 |
1518139567 | Bright Smile Dental Care P.c | Dentist | 65 Wheeler Ave, Valley Stream, NY 11580-3425 | 2008-03-31 |
1831300987 | Brian Jason Carr | Dentist | 453 Rockaway Ave, Valley Stream, NY 11581-1909 | 2007-05-24 |
1386850220 | Jesse Nmi Winick | Dentist | 240 Rockaway Ave, Suite 2, Valley Stream, NY 11580-5828 | 2007-05-15 |
1376757146 | Frank R. Korowitz | Dentist | 136 Morris Pkwy, Valley Stream, NY 11580-2621 | 2007-05-10 |
Find all providers in VALLEY STREAM |
City | VALLEY STREAM |
Zip Code | 11580 |
Please comment or provide details below to improve the information on DR. MARK HOWARD 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.