Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARK FORREST GORDON MD
NPI 1124098959
Psychiatry & Neurology - Neurology in Great Neck, NY

Active since January 24, 2006
865 NORTHERN BLVD, GREAT NECK, NY 11021(516) 570-4477(516) 465-1890 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Forrest Gordon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK FORREST GORDON MD (NPI 1124098959) is an individual neurology provider in Great Neck, New York, licensed in New York (167467) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124098959
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARK FORREST GORDONCredential: MD
Location Address865 NORTHERN BLVDGreat Neck, NY 11021-5310
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-5539
Fax(516) 465-1890
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1124098959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 167467
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

865 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 1

Medicaid01155568NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
865 NORTHERN BLVD, SUITE 202
GREAT NECK, NY 11021
Nurse Practitioner (Women's Health)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
865 NORTHERN BLVD, 203
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
865 NORTHERN BLVD
GREAT NECK, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gordon's NPI number?

The NPI number for Mark Gordon is 1124098959. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Mark Gordon located?

Mark Gordon practices at 865 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 570-4477.

What is Mark Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Mark Gordon was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.