WAYNE GORDON M.D. NPI 1407825516

NPI Information

NPI: 1407825516
Provider Name: WAYNE GORDON, M.D.
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5 E. 98TH STREET
6TH FLOOR BOX 1240 B
NEW YORK, NY
ZIP 10029
Phone: (212) 659-9363
Get Directions

Wayne Gordon, M.D. is a rehabilitation practitioner in New York, NY. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Wayne Gordon, M.D. NPI is 1407825516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5 E. 98TH STREET
6TH FLOOR BOX 1240 B
NEW YORK, NY
ZIP 10029
Phone: (212) 659-9363
Fax: (212) 348-5901

The NPI 1407825516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/14/2006 and was last updated on 4/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		004201-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V05672	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	R50750	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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