Rodrico Gordon NP in Adult Health PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

RODRICO GORDON NP IN ADULT HEALTH PLLC

Practice address

19019 Linden Blvd # 18
Jamaica, NY 11412-3361

Phone

(929) 329-7900

Fax

(646) 631-9188

NPI assigned

Aug 14, 2025

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodrico GordonNPI 1063783926

Title

Owner

Phone

(929) 329-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodrico Gordon, ANP

  • Adult Health Nurse Practitioner
  • Bronx, NY
  • NPI 1063783926
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1326924317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13517 217TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131929",
            "telephone_number": "929-329-7900",
            "fax_number": "646-631-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19019 LINDEN BLVD # 18",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114123361",
            "telephone_number": "929-329-7900",
            "fax_number": "646-631-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRICO GORDON NP IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RODRICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-329-7900"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockaway Internal Medicine PLLC
• Getty Rocourt
• Seun Rodemade-Tanimowo, RN
• Selena T. Rodgers, PH.D., LCSW-R
• Karesa Rodney
• Rodrigue Joseph MD PC
• Guadalupe Rodrigues
• Maria L Rodrigues, MD
• Roy J Rodrigues, MD
• Sonia Rodrigues, OTR/L

• Adult Health Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, 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 Sep 30, 2026; 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.

Verify at the official NPI Registry.