DR. LARA GORDON M.D.
NPI 1417015116
Pediatrics - Adolescent Medicine in New York, NY

Active since December 05, 2006
215 E 79TH ST, NEW YORK, NY 10021(212) 737-7800(212) 737-0251 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lara Gordon M.d. NPPES

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

DR. LARA GORDON M.D. (NPI 1417015116) is an individual adolescent medicine provider in New York, New York, licensed in New York (219564-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417015116
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. LARA GORDONCredential: M.D.
Location Address215 E 79TH STNew York, NY 10021-0847
Mailing Address215 E 79th StNew York, NY 10021-0847 · (212) 737-7800 · Fax (212) 737-0251
Fax(212) 737-0251
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417015116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 219564-1
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

215 E 79TH ST, New York, NY 10021

Other Providers at the Same Location NPPES 4

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

Pediatrics
215 E 79TH ST
NEW YORK, NY 10021
Obstetrics & Gynecology
215 E 79TH ST
NEW YORK, NY 10021
Obstetrics & Gynecology
215 E 79TH ST
NEW YORK, NY 10021
Pediatrics
215 E 79TH ST
NEW YORK, NY 10021

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 Lara Gordon's NPI number?

The NPI number for Lara Gordon is 1417015116. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lara Gordon located?

Lara Gordon practices at 215 E 79th St, New York, NY 10021. The listed phone number is (212) 737-7800.

What is Lara Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Lara Gordon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.