Active NPI
Samantha Gordon
- Home Health Agency
- Jersey City, NJ
National Provider Identifier
1376426536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1013 W Side Ave
Jersey City, NJ 07306-6911 - Phone
- (862) 276-7713
- NPI assigned
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1013 W Side Ave
Jersey City, NJ 07306-6911
Mailing address
111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724
Phone (862) 276-7713
Other practice location 1
250 Clinton Pl Apt 2
Newark, NJ 07112-1587
Phone (862) 276-7713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1376426536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PL STE 1201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101724",
"telephone_number": "862-276-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 W SIDE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066911",
"telephone_number": "862-276-7713"
}
],
"practiceLocations": [
{
"address_1": "250 Clinton Pl Apt 2",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071121587",
"country_code": "US",
"telephone_number": "862-276-7713",
"fax_number": "862-276-7713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.