Eloise Miekle Gordon-Mallett, RN, FNP

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

440265 Issued in NY

Practice address

1000 10TH Ave
New York, NY 10019-1147

Phone

(212) 636-3443

Fax

(212) 523-8189

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egordonmallett1522993@nychhc.direct-ci.com

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.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• New York City Health and Hospitals Corporation

  dba Broadway Community Health Center of Excellence

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1922736727
  NPD
• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053757344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EVERETT PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311660",
            "telephone_number": "201-871-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3443",
            "fax_number": "212-523-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-MALLETT",
        "first_name": "ELOISE",
        "middle_name": "MIEKLE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2025-09-11",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "440265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE NURSE PRACTITIONER LICENSE",
            "identifier": "F337206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE REGISTERED PROFESSIONAL NURSE",
            "identifier": "440265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikayla Gordon Wexler, MD
• Lynne Judith Gordon-Choix, LMHC
• Janna Salant Gordon-Elliott, M.D.
• Carol Marcia Gordon-Grant, RN
• Eliza Meryl Gordon-Lipkin, M.D.
• Mellissa Gordon-Nelson, MS
• Keisha Marie Gordon-Richards
• Gordon-Wellington Psychotherapy for Mental Health Counseling, PLLC (Wellington Psychotherapy)
• Cynthia E Gordon-Wellington, MHC-LP
• Andira Gordon-Williams

• Critical Care Medicine Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Critical Care Medicine Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.