Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachel Gordon

Individual provider Surgery Physician · NPI 1063703650

Rachel Gordon is a General Surgery in New Hyde Park, New York. Graduated from State University of New York Downstate Medical Center in 2011, 15 years ago. Practices with St John's Medical Services PC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 269407 (NY)

Record details

NPI number1063703650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2011
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2011 (15 years in practice)
Group practice St John'S Medical Services Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Hyde Park