Lemar Anthony Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

337299 Issued in NY

Practice address

41 S Bleeker St Apt 1
Mount Vernon, NY 10550-2629

Phone

(929) 227-1052

Fax

(929) 227-1052

NPI assigned

Dec 5, 2019

Sex

Male

Sole proprietor

Yes

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1467099713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S BLEEKER ST APT 1",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502629",
            "telephone_number": "929-227-1052",
            "fax_number": "929-227-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S BLEEKER ST APT 1",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502629",
            "telephone_number": "929-227-1052",
            "fax_number": "929-227-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LEMAR",
        "middle_name": "ANTHONY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Gonzalez
• Maday C Gonzalez, M.D.
• Eldonia Goode
• Elias Steven Gootzeit, L.C.S.W
• Cecille Gordon, D.M.D.
• Randall Gordon Jr.
• Kiana Goshorn
• Monique Graham, RN
• Gramatan Health Supplies LLC
• Gramatan Pharmacy Corp

• Licensed Practical Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.