Jaimee M Gordon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029788 Issued in NY

Practice address

580 Crotona Park S
Bronx, NY 10456-2225

Phone

(718) 842-6138

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Human Performance and Rehabilitation Centers, Inc.

  • Occupational Therapist
  • Columbia, SC
  • NPI 1417029513
  NPD (past)
• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Columbia, SC
  • NPI 1992394779
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1437546942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MCLEAN AVE APT 5G",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043851",
            "telephone_number": "347-405-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CROTONA PARK S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562225",
            "telephone_number": "718-842-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAIMEE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-09-10",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "009493",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112314",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111110",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garet M Gordon, MD
• Geneve Shaun Gordon, LPN
• Ivan Gordon, R.PH.
• Ivylyn Gordon
• Jahira Gordon
• Jason R Gordon, DDS
• Kathleen Gordon, MS-ED
• Kenneth Gordon Jr.
• Lori A Gordon, PHARMD
• Marilyn Gordon, LPN

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.