Hyacinth D Gordon, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004032-1 Issued in NY

Practice address

8825 153Rd St Ste 4F
Jamaica, NY 11432-3748

Phone

(718) 523-3260

NPI assigned

Nov 30, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bridging Access to Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548368756
  Medicare reassignment
• Bridging Access to Care, Inc.

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1528149341
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265509335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 EVERGREEN AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213846",
            "telephone_number": "917-902-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 153RD ST STE 4F",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323748",
            "telephone_number": "718-523-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "HYACINTH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodness Home Care Agency Inc
• Joseff McKenneth Goodwin
• Deepika Gopakumar, PA-C
• McKyle Clint Gopie
• Carrie Dolphin Gordon
• Jacqueline Gordon
• Janet Gordon, RN
• Joyetta Gordon, PSYD
• Phyllis Gorelick, O.D.
• Kieran Charles Gorman, D.C.

• Medical Physician Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.