Chaya Gordon, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

3515221-1 Issued in NY

Practice address

264 Beach 19TH St
Far Rockaway, NY 11691-4431

Phone

(718) 868-2961

NPI assigned

Apr 23, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• On Our Way Learning Center

  • Early Intervention Provider Agency
  • Far Rockaway, NY
  • NPI 1780829457
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1154565059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BEACH 12TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914708",
            "telephone_number": "718-471-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914431",
            "telephone_number": "718-868-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHAYA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3515221-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Will Medical, P.C.
• John Goode
• Shani Suzanne Goodman, OT/L
• Alexander Gordon, MD, MPH
• Catrina Pearl Gordon, LMSW
• David Jeffery Gordon, DPM
• Felecia Rushae Gordon, RN
• Marina Gore, NURSE MIDWIFE
• Golda Gorin
• Barbara Lee Gould, RN

• Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.