DR. JACOB MARTIN GORDON (NPI# 1508885492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508885492 |
Entity Type | Individual |
Full Name | DR. JACOB MARTIN GORDON |
Credential | D.D.S. |
Practice Address |
1021 Cedar Ln Woodmere NY 11598-1211 |
Practice Telephone | 5165694653 |
Mailing Telephone | 5165694653 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
028796 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417568049 | Jacob Gordon | Physician Assistant | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-08-17 |
1932729001 | Jacob Gordon | Family Medicine | 34 Haverhill St, Lawrence, MA 01841-2884 | 2020-04-19 |
1114029550 | Jacob L. Gordon | Psychiatry & Neurology | 9040 Jackson Avenue, Tacoma, WA 98431 | 2006-09-05 |
Street Address |
1021 CEDAR LN |
City | WOODMERE |
State | NY |
Zip Code | 11598-1211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417418963 | Baila Goldberg | Registered Nurse | 1 Club Drive, Apt 2 Dl, Woodmere, NY 11598 | 2019-03-27 |
1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
1104380476 | Shari L Albaum | Social Worker | 990 Clark Place, Woodmere, NY 11598 | 2019-01-30 |
1568931004 | Daniel Jacobson | Psychologist | 570 Barnard Ave, Woodmere, NY 11598 | 2018-11-14 |
1457845851 | Glenne Glassberg | Dietitian, Registered | 1094 Fulton St, Woodmere, NY 11598 | 2018-06-19 |
1144711599 | B Baron Inc | Rehabilitation Practitioner | 124 Lafayette Pl, Woodmere, NY 11598 | 2018-05-22 |
1093245888 | Michael Kariyev Lcsw PC | Social Worker | 10 Hazel Place, Woodmere, NY 11598 | 2017-06-14 |
1699149229 | Elina Kugel | Clinical Neuropsychologist | 149 Combs Avenue, Woodmere, NY 11598 | 2015-11-19 |
1033590112 | Valeriya Anbinder | Podiatrist | Coney Island Hospital, 2601 Ocean Parkway, Brooklyn, NY 11598 | 2015-06-15 |
1588064976 | Debra Schwarz | Social Worker | 9 Clubside Drive, Woodmere, NY 11598 | 2014-09-04 |
Find all providers in zip 11598 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
1740404086 | Henry Bernstein | Dentist | 932 Broadway, Woodmere, NY 11598-1734 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
1699274829 | Westchester Dental Design, PC | Dentist | 1915 Central Park Ave Ste 201, Yonkers, NY 10710-2949 | 2018-02-02 |
1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
1407393424 | Thomas Fuschetto | Dentist | 33 Cedar St Ste 1, Rye, NY 10580-2031 | 2017-01-28 |
1912357203 | Shari Ginsburg | Dentist | 1175 Park Ave Ste 1b, New York, NY 10128-1211 | 2016-06-16 |
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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.