Ingrid Gordon-Patterson

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305202 Issued in NY

Practice address

400 Horseblock Rd
Ste H
Farmingville, NY 11738-1252

Phone

(631) 451-2211

Fax

(631) 451-1463

NPI assigned

Aug 18, 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1275765661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "address_2": "STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-451-2211",
            "fax_number": "631-451-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "address_2": "STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-451-2211",
            "fax_number": "631-451-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-PATTERSON",
        "first_name": "INGRID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K Giambruno, LPN
• Ashley Elizabeth Goldsmith
• Maria Lisa Goldsmith
• Ronald R Goldstein, BS PHARM
• Randy M Gonzales, L.AC,LMT
• Katty Grand-Pierre
• Dakota R Grasman, RN
• Jaimee Ann Graziano, M.S.
• Theresa M Grimes, MS/CCC-SLP
• Nora Kathleen Guido, RN

• Adult Health Nurse Practitioner in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.