GORDON PODIATRY LLC NPI 1609311034

NPI Information

  • NPI: 1609311034
  • Provider Name: GORDON PODIATRY, LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 2285 CROSS RD
    GLENSIDE, PA
    ZIP 19038
  • Phone: (215) 887-5910

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NPI Details

GORDON PODIATRY, LLC is a podiatrist in Glenside, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GORDON PODIATRY, LLC NPI is 1609311034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2285 CROSS RD
GLENSIDE, PA
ZIP 19038-023
Phone: (215) 887-5910
Fax: (215) 887-0387

The provider's authorized official is Alicia Anne Canzanese .
The authorized official title is Owner and has the following contact phone number (215) 887-5910.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/27/2016.

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
1213E00000XPodiatristSC006606PENNSYLVANIAYes

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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