MIRIAM GORDON PEDIATRIC NP PC (NPI# 1306233408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306233408 |
| Entity Type | Organization |
| Organization Name | MIRIAM GORDON PEDIATRIC NP PC |
| Practice Address |
6010 Bay Pkwy Fl 9 Brooklyn NY 11204-6079 |
| Mailing Address |
302 Manor Rd Staten Island NY 10314-2408 |
| Practice Telephone | 7182382100 |
| Practice Fax Number | 7188158122 |
| Mailing Telephone | 7188151000 |
| Mailing Fax Number | 7188158122 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | MIRIAM GORDON (COO) |
| Authorized Official Telephone | 7188151000 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
381940 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02460364 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| Street Address |
6010 BAY PKWY FL 9 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1083246391 | Moriah Kendall | Nurse Practitioner | 949 48th St, Brooklyn, NY 11219-2919 | 2020-02-05 |
| 1831641893 | Hillary Elise Fairbanks | Nurse Practitioner | 774 Saratoga Ave, Brooklyn, NY 11212-4439 | 2016-10-25 |
| 1164806287 | Tayo Adjapon-yamoah | Nurse Practitioner | Sunset Park Children's Health At Nyu Langone, 5610 2nd Ave, Brooklyn, NY 11220 | 2015-07-18 |
| 1972888618 | Betty P.l. Celestin | Nurse Practitioner | 15 Metrotech Center 11th Floor, Empire State Home Care Services Inc C/o Bridget O'conne, Brooklyn, NY 11201 | 2011-10-13 |
| 1184930406 | Claudia Senatore | Nurse Practitioner | 825 4th Ave Rm 254, Brooklyn, NY 11232-1701 | 2010-08-24 |
| 1558687731 | Evelyn Sarina Glaser | Nurse Practitioner | 309 47th St, Brooklyn, NY 11220-1111 | 2010-04-13 |
| 1689808958 | Simone T Phillips | Nurse Practitioner | 180 Livingston Street, Suite 304, Brooklyn, NY 11201 | 2009-05-14 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.