Gordon Podiatry, LLC
NPI 1609311034 · Podiatrist · Glenside, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Podiatry, LLC is a Podiatrist organization in Glenside, PA (NPI 1609311034).
Provider details
- NPI number
- 1609311034
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Alicia Canzanese, Owner(215) 887-5910
- License
- SC006606 (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-20
- Last updated
- 2016-12-27
Frequently asked questions
- What is Gordon Podiatry, LLC's NPI number?
- Gordon Podiatry, LLC's National Provider Identifier (NPI) is 1609311034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gordon Podiatry, LLC?
- Gordon Podiatry, LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Gordon Podiatry, LLC located?
- Gordon Podiatry, LLC's practice location on file with NPPES is 2285 Cross Rd, Glenside, PA 19038-5023.
- What is Gordon Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gordon Podiatry, LLC is (215) 887-5910.
- Does Gordon Podiatry, LLC accept Medicare?
- Gordon Podiatry, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gordon Podiatry, LLC?
- The authorized official listed on Gordon Podiatry, LLC's NPPES record is Alicia Canzanese, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gordon Podiatry, LLC's NPI active?
- Yes — Gordon Podiatry, LLC's NPI (1609311034) is active in the NPPES registry as of the last update on 2016-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.