Max J Gordon, DMD is a
Student In An Organized Health Care Education/training Program based in Bronx, New York. Max J Gordon is licensed to practice in * (Not Available) (license number ) and his current practice location is
1775 Grand Concourse Fl 6, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 901-8410.
NPI number for Max J Gordon is 1184186066 and his current mailing address is 1775 Grand Concourse Fl 6, Bronx, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184186066.
Healthcare Provider's Profile
| Full Name | Max J Gordon |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1775 Grand Concourse Fl 6, Bronx, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184186066
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 06/10/2022
Medical Identifiers
Medical identifiers for Max J Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184186066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22DI02795400 (New Jersey) | Secondary |
| 122300000X | Dentist | 061250 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Max J Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Max J Gordon, DMD
1775 Grand Concourse Fl 6,
Bronx, NY 10453-8202
Ph: (516) 587-0663 | Max J Gordon, DMD
1775 Grand Concourse Fl 6,
Bronx, NY 10453-8202
Ph: (718) 901-8410 |
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