Be'Ianka Jazz'E Taylor Gordon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP07101900 Issued in NJ

Practice address

819 Alexander Rd
Princeton, NJ 08540-6303

Phone

(609) 759-7454

Fax

(609) 452-0627

NPI assigned

Dec 26, 2019

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

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": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1750920658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MIDDLE ROSE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183803",
            "telephone_number": "609-917-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406303",
            "telephone_number": "609-759-7454",
            "fax_number": "609-452-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR GORDON",
        "first_name": "BE'IANKA",
        "middle_name": "JAZZ'E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07101900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S0000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamerra P. Moeller, PHD, LLC
• Kevin Tan
• Sierra Tango, PA-C
• Sakina Mustafa Tayebali, PA-C
• Sumra Tayebaly, M.D.
• Lauren Taylor
• Telegenix Provider Group NJ, P.C.
• Julia Kate Temple, M.D.
• Harlan Tenenbaum
• Louis J Tesoro, MD

• Licensed Practical Nurse in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.