Pamela Lauren Gore, NPFA

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

309361 Issued in NY

Practice address

150 Church St
Northport, NY 11768-3001

Phone

(516) 521-5908

NPI assigned

Apr 5, 2023

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1750076998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHURCH ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683001",
            "telephone_number": "516-521-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHURCH ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683001",
            "telephone_number": "516-521-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "PAMELA",
        "middle_name": "LAUREN",
        "credential": "NPFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "309361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avrum H. Golub, M.D., J.D.
• Patricia Slezak Gomes, PT
• Jenna Elizabeth Gomez
• John Gonzalez, BS,PH
• Andrea M Gordon, LMT, TTT
• Amie Rose Gorman, OTR/L
• Olivia G Gorman, M.S., CCC-SLP
• Holly White Gotta, LCSW
• Richard Gotta, PH.D.
• Mark Lewis Graber, MD

• Gerontology Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.