1. Home
  2. Directory
  3. New York
  4. Woodmere
  5. Dentist
  6. NPI Profile

DR. JACOB MARTIN GORDON D.D.S.
NPI 1508885492
Dentist - Prosthodontics in Woodmere, NY

Active since July 19, 2006
1021 CEDAR LN, WOODMERE, NY 11598(516) 569-4653 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. Jacob Martin Gordon D.d.s. NPPES

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

DR. JACOB MARTIN GORDON D.D.S. (NPI 1508885492) is an individual prosthodontics provider in Woodmere, New York, licensed in New York (028796) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508885492
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JACOB MARTIN GORDONCredential: D.D.S.
Location Address1021 CEDAR LNWoodmere, NY 11598-1211
Mailing Address1021 Cedar LnWoodmere, NY 11598-1211 · (516) 569-4653
Phone(516) 569-4653
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508885492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NY · 028796
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1021 CEDAR LN, Woodmere, NY 11598
Open in Google Maps ↗

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 Jacob Gordon's NPI number?

The NPI number for Jacob Gordon is 1508885492. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jacob Gordon located?

Jacob Gordon practices at 1021 Cedar Ln, Woodmere, NY 11598. The listed phone number is (516) 569-4653.

What is Jacob Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

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