DR. JEFFREY B GORDON MD NPI 1174620579

NPI Information

  • NPI: 1174620579
  • Provider Name: DR. JEFFREY B GORDON, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 1415 PORTLAND AVE
    STE 400
    ROCHESTER, NY
    ZIP 14621
  • Phone: (585) 922-4200

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NPI Details

DR. Jeffrey B Gordon, MD is an obstetrics gynecology in Rochester, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jeffrey B Gordon, MD NPI is 1174620579. 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:

1415 PORTLAND AVE
STE 400
ROCHESTER, NY
ZIP 14621-038
Phone: (585) 922-4200

The enumeration date for this NPI number is 9/20/2006 and was last updated on 1/28/2010.

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
1207V00000XObstetrics & Gynecology151996NEW YORKYes

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
100958443MEDICAIDNEW YORK
2D02302MEDICARE UPINNEW YORK
3RA9080MEDICARE PINNEW 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: 11/21/2025

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