Individual provider Active NPI

Reshmi Naginlall Gordhan, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1063914737
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402609 Issued in NY
Practice address
268 Canal St
New York, NY 10013-3599
Phone
(212) 941-2213
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402609 NY Primary

Addresses

Primary practice location

268 Canal St
New York, NY 10013-3599

Mailing address

125 Walker Street
New York
New York, NY 10013
Phone (646) 941-2213

Other practice location 1

13626 37th Ave
Flushing, NY 11354-6533
Phone (718) 886-7373

Other practice location 2

13172 40th Rd
Flushing, NY 11354-5137
Phone (718) 886-7373

Other names 1

  • Ms. Reshmi Naginlall Gordhan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230906002871 NY Order and Referring Only - Other (Non-Physician) 7911361118
I20240103003441 NY Order and Referring Only - Nurse Practitioner 7911361118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
402609NYMDPsychiatric/Mental Health Nurse Practitioner

Networks

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

Interoperability endpoints

  • Direct secure messaging: rgordhan@1120.direct.myezyaccess.com
  • Direct secure messaging: rgordhan787912@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1063914737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WALKER STREET",
            "address_2": "NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "646-941-2213",
            "fax_number": "212-226-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133599",
            "telephone_number": "212-941-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13626 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113546533",
            "country_code": "US",
            "telephone_number": "718-886-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13172 40th Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545137",
            "country_code": "US",
            "telephone_number": "718-886-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDHAN",
        "first_name": "RESHMI",
        "middle_name": "NAGINLALL",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESHMI",
            "last_name": "GORDHAN",
            "middle_name": "NAGINLALL",
            "prefix": "MS.",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.