Active NPI
Kim Gordon, RN, CRNA
- Certified Registered Nurse Anesthetist
- Neptune City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00686800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15879000 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Shore Anesthesiology Associates PA | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Anesthesia Consulting Partners, PLLC | Current | 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
- 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.
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Anesthesiology Physician
- Neptune, NJ
- NPI 1538190764
-
- Anesthesiology Physician
- Thornton, CO
- NPI 1891408050
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
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.