Rebecca A Gordon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F356193-01 Issued in NY

Practice address

210 Shore Rd Apt 3a
Long Beach, NY 11561-4271

Phone

(631) 487-5301

NPI assigned

Apr 21, 2025

Sex

Female

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

State licenses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1568259018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SHORE RD APT 3A",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614271",
            "telephone_number": "631-487-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHORE RD APT 3A",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614271",
            "telephone_number": "631-487-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "REBECCA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356193-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Miles Golub, D.P.M.
• Giannina Gomez
• Gladis Goodman, PHARM. D.
• Cynthia Gapud Goodstein, RN
• Jaclyn Gordon, PSY.D.
• Jennifer Anne Gosden, M.SC.ED
• Neeraj Goswamy, M.D.
• David Michael Gouveia
• Zachary Bennett Gower, DC
• Meaghan Alexa Grabowski, LMHC

• Family Nurse Practitioner in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.