Manuel Barry Gordon
Periodontics · Hackensack, NJ
Practice location
370 W Pleasantview Ave Ste 14aHackensack, NJ 07601-8004
- Phone
- (646) 483-4470
NPI record
- NPI
- 1215190731
- Entity type
- Individual (Type 1)
- Enumeration date
- July 3, 2008
- Last updated
- February 12, 2020
- Certified
- February 12, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
22DI02185100 | NJ |
Mailing address
160 E 91st St2n
New York, NY 10128-2452
- Phone
- (646) 483-4470
About Manuel Gordon
Manuel Barry Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 370 W Pleasantview Ave Ste 14a, Hackensack, NJ 07601-8004. The NPI number 1215190731 was assigned on July 3, 2008 and the record was last updated on February 12, 2020.
Manuel Gordon lists a license in the registry: #22DI02185100 (NJ) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Manuel Barry Gordon?
The NPI number is 1215190731.
What is the phone number of Manuel Gordon?
The phone number listed for the practice location is (646) 483-4470.
Where is Manuel Gordon located?
370 W Pleasantview Ave Ste 14a, Hackensack, NJ 07601-8004.
What is the taxonomy code for Manuel Gordon?
The primary taxonomy code is 1223P0300X – Periodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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