Individual provider Active NPI

Rodrico Gordon, ANP

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1063783926
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310858 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 583-7736
Fax
(718) 537-6180
NPI assigned
Jan 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310858 NY Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ15124300 NJ

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

281 Edgecombe Ave
Apt 7F
New York, NY 10031-3014
Phone (718) 600-0075

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214000820 NY Practitioner - Nurse Practitioner 3274905609 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians
Py Medical PLLCGroup PAC ID 2961840319, 9 clinicians

Practice addresses (Care Compare)

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

3400 Brush Hollow Rd
Westbury, NY 11590-1712
Phone (516) 334-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310858NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medassist NJ II CurrentSince Dec 18, 2024 Accepting new patients
Mill Basin Medical Health PC CurrentSince Jan 14, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2023 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jun 1, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Py Medical PLLC CurrentSince Nov 15, 2025 Accepting new patients
Rodrico Gordon NP in Adult Health PLLC Adult Health CurrentSince Sep 14, 2025 Accepting new patients
Rodrico Gordon Adult - Gerontology NP P.C. Adult Health Current Accepting new patients
Medequipped LLC CurrentSince Dec 18, 2024 Accepting new patients
Visiting Services, LLC CurrentSince Nov 8, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2023 Accepting new patients
Alliance Medical Team LLC Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

60 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-9300

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

3400 Brush Hollow Rd
Westbury, NY 11590
Phone (516) 213-1969

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rodricogordon@imppllc.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1063783926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 EDGECOMBE AVE",
            "address_2": "APT 7F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313014",
            "telephone_number": "718-600-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-583-7736",
            "fax_number": "718-537-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RODRICO",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310858",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15124300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.