Active NPIIndividual providerSole proprietor

Gary I Gorodokin, MD

Internal Medicine, Gastroenterology in Fair Lawn, New Jersey

NPI Number1619996774
Practice location
24-07 A Broadway, Fair Lawn, NJ 07410
Fax
201-791-7746
Last updated
August 10, 2026

Gary I Gorodokin is an Internal Medicine, Gastroenterology based in Fair Lawn, NJ. Gary I Gorodokin practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Gary I Gorodokin is 1619996774 and holds a License No. 25MA06159800 (NJ). The current practice location address for Gary I Gorodokin is 24-07 A Broadway, Fair Lawn, NJ 07410 and can be reached out via phone at 201-791-7760 and via fax at 201-791-7746.

Provider Profile Details

NPI Number
1619996774
Provider Name
Gary I Gorodokin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24-07 A Broadway, Fair Lawn, NJ 07410
Phone Number
201-791-7760
Fax Number
201-791-7746
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2006
Last Update Date
August 10, 2026
Certification Date
August 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24-07 A Broadway
Fair Lawn, NJ 07410
Zip
07410
Phone Number
201-791-7760
Fax Number
201-791-7746
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
5 Toboggan Ridge RD
Saddle River, NJ 07458-2521
City
Saddle River
State
NJ
Zip
07458-2521
Phone Number
201-791-7760
Fax Number
201-791-7746

License Information

License Number (1)
25MA06159800
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X · Primary
License Number (2)
182511
License State (2)
NY
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Gary I Gorodokin, MD?

The NPI number of Gary I Gorodokin, MD is 1619996774. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Gary I Gorodokin, MD?

Gary I Gorodokin, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA06159800.

Where does Gary I Gorodokin, MD practice?

The practice location is 24-07 A Broadway, Fair Lawn, NJ 07410. The office can be reached at 201-791-7760 (phone) or 201-791-7746 (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 1619996774 directly on the NPPES registry website.

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