Active NPI
Joan Gorham, AOCNP, MSN
- Nurse Practitioner
- New York, NY
National Provider Identifier
1043557549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 306300
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-6920
- NPI assigned
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 306300 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1606 Avalon Pines Dr
Coram, NY 11727-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.97 of 100
- Quality
- 82.74
- Improvement activities
- 40
- Cost
- 79.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.95 of 100
- Quality
- 73.64
- Improvement activities
- 40
- Cost
- 66.25
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.91 of 100
- Quality
- 78.66
- Improvement activities
- 40
- Cost
- 48.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306300 | NY | MD | Nurse Practitioner |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jgorham35659@mskcc.direct-ci.com
Organizations & group practices 3
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.
-
- Neurology Physician
- New York, NY
- NPI 1538130190
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
-
- Medical Oncology Physician
- New York, NY
- NPI 1912978487
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1043557549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 AVALON PINES DR",
"city": "CORAM",
"state": "NY",
"postal_code": "117275141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORHAM",
"first_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "AOCNP, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "306300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.