Active NPI
Rodrico Gordon, ANP
- Adult Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F310858
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F310858 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medassist NJ II | Current | Accepting new patients | |
| Mill Basin Medical Health PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Py Medical PLLC | Current | Accepting new patients | |
| Rodrico Gordon NP in Adult Health PLLC | Adult Health | Current | Accepting new patients |
| Rodrico Gordon Adult - Gerontology NP P.C. | Adult Health | Current | Accepting new patients |
| Medequipped LLC | Current | Accepting new patients | |
| Visiting Services, LLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | 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
- 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.
-
- Pain Medicine Physician
- Bronx, NY
- NPI 1043081524
-
- Adult Health Nurse Practitioner
- Jamaica, NY
- NPI 1326924317
-
dba Visiting Docs
- Primary Care Clinic/Center
- Spring Valley, NY
- NPI 1083241392
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1346006202
-
- Adult Health Nurse Practitioner
- Woodland Park, NJ
- NPI 1558295873
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Customized Equipment (DME)
- Spring Valley, NY
- NPI 1619489044
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.