Angela Gordon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21007 Issued in NY

Practice address

56 Bay St FL 6
Staten Island, NY 10301-2563

Phone

(718) 808-1428

NPI assigned

Nov 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Attanasio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1487027082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BAY ST FL 6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012563",
            "telephone_number": "718-808-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BAY ST FL 6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012563",
            "telephone_number": "718-808-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "21007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02521240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ATTANASIO",
            "credential": "CASAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thilini Lankika Goonawardena
• Gora Care Corp
• Yevgeny Gorbatov, ACUPUNCTURE
• Henry Gorbonos, LMT
• Stephanie Gordan
• Anne Gordon, MS.ED.
• Tara Nasir Gore, PHD
• Eduard Gorenshteyn
• Danielle Gorga, RN
• Peter Paul Gorgoglione, RN

• Addiction (Substance Use Disorder) Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.