Provider Demographics
NPI:1477649424
Name:GORDON, RICHARD N (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:N
Last Name:GORDON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 MEDICAL PARK DRIVE
Mailing Address - Street 2:RAMAPO OPHTHALMOLOGY ASSOCIATES, LLP
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3534
Mailing Address - Country:US
Mailing Address - Phone:845-362-1450
Mailing Address - Fax:845-362-3830
Practice Address - Street 1:3 MEDICAL PARK DRIVE
Practice Address - Street 2:RAMAPO OPHTHALMOLOGY ASSOCIATES, LLP
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3534
Practice Address - Country:US
Practice Address - Phone:845-362-1450
Practice Address - Fax:845-362-3830
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY198639174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000037227OtherGHI HMO
NY061536408OtherHUDSON HEALTH PLAN
NY451611OtherEMPIRE BC/BS
NY696738OtherMVP
NYP1228868OtherOXFORD
NY061536408Other1199 NATIONAL BENEFIT FUN
NY061536408OtherMULTIPLAN
NY198639OtherHIP
NY061536408OtherFIDELIS
NY1000004312OtherAFFINITY HEALTH PLAN
NY5789423OtherAETNA HMO & PPO
NY061536408OtherCIGNA
NYOD1543OtherHEALTH NET OF NE
NY02202748Medicaid
NY180043792OtherRAILROAD MEDICARE
NY6013930OtherGHI PPO
NY180043792OtherRAILROAD MEDICARE
NY5789423OtherAETNA HMO & PPO
NYG31171Medicare UPIN
NY6013930OtherGHI PPO