Active NPI
Claudia Gordon, CRNA
- Certified Registered Nurse Anesthetist
- Rosedale, NY
National Provider Identifier
1245405463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 364884
- Practice address
- 24533 147TH Rd
Rosedale, NY 11422-2427 - Phone
- (718) 918-5124
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 364884 | NY | Primary |
Addresses
Primary practice location
24533 147TH Rd
Rosedale, NY 11422-2427
Mailing address
24533 147TH Rd
Rosedale, NY 11422-2427
Phone (718) 918-5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 364884 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| Jamaica Anesthesiologist, PC | Current | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Organizations & group practices 2
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.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1245405463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24533 147TH RD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222427",
"telephone_number": "718-918-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24533 147TH RD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222427",
"telephone_number": "718-918-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CLAUDIA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "364884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.