Individual provider Active NPI

Keena S Gordon, ANP

  • Adult Health Nurse Practitioner
  • Westbury, NY
National Provider Identifier
1184949620
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305351 Issued in NY
Practice address
372 Post Ave
Westbury, NY 11590-2201
Phone
(516) 333-1444
NPI assigned
Mar 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305351 NY Primary

Addresses

Primary practice location

372 Post Ave
Westbury, NY 11590-2201

Mailing address

372 Post Ave
Westbury, NY 11590-2201
Phone (516) 333-1444

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
I20241015004660 NY Practitioner - Nurse Practitioner 2163954165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305351NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer J. Saad MD P.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

10933 71st Rd
Ste 2G
Forest Hills, NY 11375
Phone (718) 263-1963

7309 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7270

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800

158 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 593-3541

514 Ocean Ave
Massapequa, NY 11758
Phone (516) 799-2554

372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444

372 Post Ave
Westbury, NY 11590
Phone (516) 333-1444

Interoperability endpoints

  • Direct secure messaging: ksamuels@mjsmpdtwhp-ny.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1184949620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902201",
            "telephone_number": "516-333-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902201",
            "telephone_number": "516-333-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KEENA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.