DR. LAURIE ELISE GORDON M.D.
NPI 1720155930
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Q: What is Laurie Gordon's NPI number?

The NPI number for Laurie Gordon is 1720155930. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Laurie Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Laurie Gordon enrolled in Medicare?

No. Laurie Gordon has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Laurie Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 30, 2006Opted out of Medicare · through Jan 1, 2028

14 E 4TH ST APT 401, NEW YORK, NY 10012(212) 358-1881 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Laurie Elise Gordon M.d. NPPES

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

DR. LAURIE ELISE GORDON M.D. (NPI 1720155930) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (204694) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720155930

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. LAURIE ELISE GORDONCredential: M.D.

Location Address14 E 4TH ST APT 401New York, NY 10012-1141

Mailing Address215 E 24th St Apt 505New York, NY 10010-3806 · (212) 679-0052

Phone(212) 358-1881

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720155930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 204694

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

14 E 4TH ST APT 401, New York, NY 10012

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Other Identifiers 1

Medicare UPIN555BM1NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Laurie Elise Gordon M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Laurie Gordon's NPI number?

The NPI number for Laurie Gordon is 1720155930. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Laurie Gordon located?

Laurie Gordon practices at 14 E 4th St Apt 401, New York, NY 10012. The listed phone number is (212) 358-1881.

What is Laurie Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Laurie Gordon enrolled in Medicare?

No. Laurie Gordon has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Laurie Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.