Rosemarie S.a Gordon, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

656018 Issued in NY

Practice address

1510 Waters PL
Bronx, NY 10461-2700

Phone

(718) 409-9420

Fax

(718) 918-9461

NPI assigned

Nov 17, 2011

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

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1881961910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612700",
            "telephone_number": "718-409-9420",
            "fax_number": "718-918-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612700",
            "telephone_number": "718-409-9420",
            "fax_number": "718-918-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROSEMARIE",
        "middle_name": "S.A",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merline Gordon, LPN
• Merna Gordon, RN
• Natanya Gordon
• Peta-Gaye Gordon
• Rodrico Gordon, ANP
• Saida Gordon
• Seana Gordon
• Shante Gordon, LPN
• Sharee Gordon
• Sherine Staceyann Gordon, RN

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.