DR. MICHAEL GORDON (DO) – Dermatology Physician, NPI 1689136137

DR. MICHAEL GORDON (DO) is a healthcare provider. based in New york, New York. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 305484 (NY). The NPI Number for DR. MICHAEL GORDON (DO) is 1689136137

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL GORDON (DO)
NPI
1689136137
Phone
(917) 283-2147
Address
222 W 14TH ST APT 10H
Enumeration Date
3 April 2019
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
2122833000
Graduation Year
2019 (7 years ago)
PAC ID
3577005149
Group Practice PAC ID
5991947160
Professional Enrollment ID
I20240611001607
Address ID
NY112014408BR32XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

453 DERMATOLOGY in NJ

Provider Addresses for DR. MICHAEL GORDON (DO)

  • 222 W 14TH ST APT 10H

    NEW YORK, NY 100117209

    Phone: (917) 283-2147

    Type: Mailing

  • 7600 RIVER RD

    NORTH BERGEN, NJ 070476217

    Phone: (201) 854-5000

    Type: Location

  • 750 COLUMBUS AVE APT 6A

    NEW YORK, NY 100256477

    Phone: (917) 283-2147

    Type: Mailing

  • 32 COURT ST STE 302

    BROOKLYN, NY 112014408

    Phone: (718) 408-4906

    Fax: (718) 228-6170

    Type: Mailing

  • 222 W 14th St Apt 10H

    New York, NY 100117209

    Phone: (917) 283-2147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,730.

Total Amount is formed as General ($1,730) + Research ($0) + Ownership ($0) = $1,730.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($264).

Total Amount

$1,730

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,730

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240611001607IDermatologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991947160View full group profile
NameSpecialtyState
-NY
D E R M A T O L O G YNY
D E R M A T O L O G YNY
-NY
Physician AssistantNY
-NY
Physician AssistantNY
Physician AssistantNY
D E R M A T O L O G YMD
Nurse PractitionerNY

Reviews

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Frequently asked questions

Does DR. MICHAEL GORDON (DO) have a public NPI I can cite?
Public records show DR. MICHAEL GORDON (DO) under NPI 1689136137.
Is DR. MICHAEL GORDON (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. MICHAEL GORDON (DO) as active.
What does the directory say DR. MICHAEL GORDON (DO) does?
Insurance directories may phrase it differently, but here DR. MICHAEL GORDON (DO) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MICHAEL GORDON (DO) in New York, New York?
For routing, start with New York, New York for DR. MICHAEL GORDON (DO), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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