Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215190731 Individual Practitioner Male Practitioner

Manuel Barry Gordon

Dentist - Periodontics • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Manuel Gordon is a registered healthcare professional specializing in Dentist - Periodontics in Hackensack, NJ. Practice services are available at 370 W PLEASANTVIEW AVE STE 14A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

370 W Pleasantview Ave Ste 14a

Hackensack, NJ 076018004

Telephone 6464834470

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Hackensack, NJ (306 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-12
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License NJ 22DI02185100

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1356044531

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 12, 2020

Registered at 370 W PLEASANTVIEW AVE STE 14A, HACKENSACK, NJ 076018004 (Tel: 6464834470)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2020

Dentist (License #22DI02185100 in NJ)

NPI Profile Active July 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2008

Registered at 160 E 91ST ST, 2N, NEW YORK, NY 101282452 (Tel: 6464834470)

📍
Updated Business Mailing Address July 03, 2008

Registered at 160 E 91ST ST, 2N, NEW YORK, NY 101282452 (Tel: 6464834470)

👤
Provider Name / Credentials Updated July 03, 2008

Recorded as MANUEL GORDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2008

Dentist (License #047196 in NY)

🟢
Initial NPI Registration & Enumeration July 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215190731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2008
Last Update: February 12, 2020
Sole Proprietor: Yes

Mailing Address

160 E 91st St, 2n

New York, NY 101282452

Phone: 6464834470

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.