WAYNE GORDON M.D. NPI 1407825516

NPI Information

  • NPI: 1407825516
  • Provider Name: WAYNE GORDON, M.D.
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 5 E. 98TH STREET
    6TH FLOOR BOX 1240 B
    NEW YORK, NY
    ZIP 10029
  • Phone: (212) 659-9363

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NPI Details

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 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
1225400000XRehabilitation Practitioner004201-1NEW 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
1V05672MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2R50750MEDICARE UPINNEW 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

NPI Synchronization or Removal

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