DR. KENNETH GORDON JR.
NPI 1134979289
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 22, 2024

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Gordon Jr. NPPES

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

DR. KENNETH GORDON JR. (NPI 1134979289) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1134979289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KENNETH GORDON JR.
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address137 Alexander St Apt 2211Yonkers, NY 10701-5287 · (917) 588-7321
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1134979289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4422 3RD AVE, Bronx, NY 10457

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.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Kenneth Gordon's NPI number?

The NPI number for Kenneth Gordon is 1134979289. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Kenneth Gordon located?

Kenneth Gordon practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Kenneth Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kenneth Gordon was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.