Dr. Barry M Gordon, MD
Internal Medicine in Lakewood, New Jersey
1285740787- Practice location
- 809 River Ave, Lakewood, NJ 08701-5286
- Phone
- 732-905-9944
- Fax
- 732-444-3118
- Last updated
- July 18, 2019
Barry Mark Gordon is an Internal Medicine based in Lakewood, NJ. Barry Mark Gordon practices in Lakewood, NJ and has the professional credentials of MD. The NPI Number for Barry Mark Gordon is 1285740787 and holds a License No. 273313 (NY). The current practice location address for Barry Mark Gordon is 809 River Ave, Lakewood, NJ 08701-5286 and can be reached out via phone at 732-905-9944 and via fax at 732-444-3118.
Provider Profile Details
- NPI Number
- 1285740787
- Provider Name
- Barry Mark Gordon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 809 River Ave, Lakewood, NJ 08701-5286
- Phone Number
- 732-905-9944
- Fax Number
- 732-444-3118
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 21, 2006
- Last Update Date
- July 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 809 River Ave
Lakewood, NJ 08701-5286 - City
- Lakewood
- State
- New Jersey
- Zip
- 08701-5286
- Phone Number
- 732-905-9944
- Fax Number
- 732-444-3118
Provider Business Mailing Address Details
- Address
- 212 Van Houten Ave
Apartment 2
Passaic, NJ 07055-4607 - City
- Passaic
- State
- NJ
- Zip
- 07055-4607
- Phone Number
- 848-299-3418
License Information
- License Number (1)
- 273313
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 25MA07707800
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Barry M Gordon, MD?
The NPI number of Dr. Barry M Gordon, MD is 1285740787. It was assigned on August 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Barry M Gordon, MD?
Dr. Barry M Gordon, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 273313.
Where does Dr. Barry M Gordon, MD practice?
The practice location is 809 River Ave, Lakewood, NJ 08701-5286. The office can be reached at 732-905-9944 (phone) or 732-444-3118 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285740787 directly on the NPPES registry website.