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Dr. Mark Howard Gordon , DDS

Dentist - General Practice • Valley Stream, NY

Active NPI 1396734331 Individual Practitioner Male Practitioner
Practice location in NPPES

15 Fletcher Ave
Valley Stream, NY 115804000

Call 5165611577 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15 Fletcher Ave

Valley Stream, NY 115804000

Telephone 5165611577
Fax 5165611577
Organization at the Same NPPES Address or Phone
Li Premier Medical Care Pllc Facility NPI 1245575448

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2023

All general payments: $30.35 across 2 records.

By nature of payment

  • Food and Beverage: $30.35 across 2 records.

Reporting-company totals

  • Teva Pharmaceuticals USA, Inc.: $30.35 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Valley Stream and New York

23 active clinicians are listed under Dentist - General Practice with a practice address in Valley Stream, NY (7,833 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Valley Stream

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $30.35.

Manufacturer Payment Nature Product Type Amount ($)
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
AUSTEDO General $15.34
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
AUSTEDO General $15.01

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NY 036092

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00717506 (NY)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Dolores Brandt , PhD

Psychologist - Clinical

NPI 1710080502

Doctor of Philosophy (Ph.D.)

NPI 1588726715

Doctor of Medicine (M.D.), Doctor of Osteopathic Medicine (D.O.)

Dr. Roman Urbanczyk , MD

Internal Medicine

NPI 1114933918

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 20, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1396734331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: July 08, 2007
Sole Proprietor: Yes

Other Dentist - General Practices in Valley Stream

All Dentist - General Practices in Valley Stream

Mailing Address

15 Fletcher Ave

Valley Stream, NY 115804000

Phone: 5165611577

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.