Emily Rose Gordon, MD
Dermatology in Boston, MA. Individual provider (NPI-1).
NPI number1467255232
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1467255232
- Entity type
- Individual (NPI-1)
- Name
- Emily Rose Gordon
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2025
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 3019967 | MA | Yes |
Practice location
75 Francis StBoston, MA 02115-6106
Phone 617-278-1000
Mailing address
20 Chapel St Apt A606Brookline, MA 02446-7407
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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