Jevon Gooden

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Practice address

21273 26TH Ave
Bayside, NY 11360-1943

Phone

(646) 688-5200

NPI assigned

Jul 17, 2026

Sex

Male

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

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1407776644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12043 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21273 26TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601943",
            "telephone_number": "646-688-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "JEVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Goldstein
• Stephan Allan Goldstein, DDS
• Claudia Gonzalez
• Johnny J Gonzalez, DPT
• Stevenson Saga Gonzalvo, OTR/L
• David P Goodman, M.D.
• Barbara S. Goodstein, LMHC
• Christiane Gordon
• Jodene Gordon
• Teanna Isoke Gordon

• Physical Rehabilitation Occupational Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.