Individual provider Active NPI

Kim Gordon, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Neptune City, NJ
National Provider Identifier
1003269754
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00686800 Issued in NJ
Practice address
1945 NJ-33
Neptune City, NJ 07753
Phone
(732) 775-5500
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15879000 NJ
Certified Registered Nurse Anesthetist 367500000X 26NJ00686800 NJ Primary

Addresses

Primary practice location

1945 NJ-33
Neptune City, NJ 07753

Mailing address

76 Ridge Ter
Neptune City, NJ 07753-6614
Phone (732) 642-0022

Other practice location 1

99 Highway 37 W
Toms River, NJ 08755-6423
Phone (732) 557-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170206002702 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082997622 Reassigns benefits to 4 organizations
I20260108001677 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082997622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15879000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Anesthesiology Associates PA CurrentSince Dec 15, 2023 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Jan 28, 2026 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Dec 30, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2024 Accepting new patients
Anesthesia Consulting Partners, PLLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1003269754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 RIDGE TER",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536614",
            "telephone_number": "732-642-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 NJ-33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-775-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Highway 37 W",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087556423",
            "country_code": "US",
            "telephone_number": "732-557-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KIM",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15879000",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00686800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.