Daniel Joshua Gordon, OD is a medicare enrolled "Optometrist" provider in Tenafly, New Jersey. His current practice location is
120 County Rd, Tenafly, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 567-0157.
Daniel Joshua Gordon is licensed to practice in New Jersey (license number 4673) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871623009.
Healthcare Provider's Profile
Full Name | Daniel Joshua Gordon |
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Gender | Male |
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Speciality | Optometrist |
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Location | 120 County Rd, Tenafly, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871623009
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 06/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 4486682846
- Enrollment ID: I20050728000065
Medical Identifiers
Medical identifiers for Daniel Joshua Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871623009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4673 (New Jersey) | 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. Daniel Joshua Gordon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Daniel Joshua Gordon, OD 19 Sunset Ter, Tenafly, NJ 07670-1456 Ph: (201) 567-6588 | Daniel Joshua Gordon, OD 120 County Rd, Tenafly, NJ 07670-1854 Ph: (201) 567-0157 |
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