Taylor Victoria Gordon
Nurse Practitioner in North Bellmore, NY. Individual provider (NPI-1).
NPI number1104516202
StatusActive
Last updated in NPPESNov 30, 2024
Details
- NPI
- 1104516202
- Entity type
- Individual (NPI-1)
- Name
- Taylor Victoria Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2023
- Certification date
- Nov 30, 2024
- Last updated
- Nov 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F406220-01 | NY | Yes |
| 163W00000X | Registered Nurse | 772330 | NY |
Practice location
2675 Doris AveNorth Bellmore, NY 11710-2070
Phone 516-204-6676
Mailing address
2675 Doris AveNorth Bellmore, NY 11710-2070
Phone 516-204-6676
Is something wrong?
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.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.