MATTHEW JOSEPH GORDON NP-BC NPI 1518774751

NPI Information

  • NPI: 1518774751
  • Provider Name: MATTHEW JOSEPH GORDON, NP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9550 LIVINGSTON RD STE 102
    FORT WASHINGTON, MD
    ZIP 20744
  • Phone: (240) 253-6312

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NPI Details

Matthew Joseph Gordon, NP-BC is a family nurse practitioner in Fort Washington, MD with 2 years of experience. Matthew Joseph Gordon, NP-BC NPI is 1518774751. 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:

9550 LIVINGSTON RD STE 102
FORT WASHINGTON, MD
ZIP 20744-975
Phone: (240) 253-6312

The NPI 1518774751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2024 and was last updated on 12/23/2024.

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
1363LF0000XNurse PractitionerFamilyR248494MARYLANDYes

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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