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NICOLAS GORDON MD
NPI 1306465091
Internal Medicine - Pulmonary Disease in New York, NY

Active since April 13, 2020PECOS Enrolled
550 1ST AVE, NEW YORK, NY 10016(646) 929-7800 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Jun 5, 2025, Apr 13, 2020 (3 updates tracked since 2020).

About Nicolas Gordon Md NPPES

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

NICOLAS GORDON MD (NPI 1306465091) is an individual pulmonary disease provider in New York, New York, licensed in New York (MT221413) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306465091
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNICOLAS GORDONCredential: MD
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address353 Grove St Apt 1aJersey City, NJ 07302-2973 · (917) 474-5667
Phone(646) 929-7800
Sole ProprietorYes
Enumeration DateApril 13, 2020
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1306465091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NY · MT221413✔ Licensed in NJ · 25MA13121200
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA13121200 (NJ)
550 1ST AVE, New York, NY 10016
Open in Google Maps ↗

Secondary Practice Locations 3

Location 117 Wanaque AvenuePompton Lakes, NJ 07442 · Phone (973) 617-1750 · Fax (973) 617-1751
Location 21 Springfield Ave Fl 3Summit, NJ 07901-4055 · Phone (908) 934-0555 · Fax (908) 934-0556
Location 31125 Route 22 Ste 170Bridgewater, NJ 08807-2939 · Phone (908) 947-7022 · Fax (908) 947-7011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicolas Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Practice Associates Medical Group
26 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$34.92 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.93 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$20.26 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Nicolas Gordon's NPI number?

The NPI number for Nicolas Gordon is 1306465091. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Nicolas Gordon located?

Nicolas Gordon practices at 550 1st Ave, New York, NY 10016. The listed phone number is (646) 929-7800.

What is Nicolas Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nicolas Gordon enrolled in Medicare?

Yes. Nicolas Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolas Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Gordon reassigns Medicare benefits to Practice Associates Medical Group (Morristown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolas Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolas Gordon was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.