IVYLYN GORDON
NPI 1003935941
Licensed Practical Nurse in Bronx, NY

Q: What is Ivylyn Gordon's NPI number?

The NPI number for Ivylyn Gordon is 1003935941. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Ivylyn Gordon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivylyn Gordon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2007

3480 SEYMOUR AVE, APT # 1 B, BRONX, NY 10469(718) 882-3100 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ivylyn Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVYLYN GORDON (NPI 1003935941) is an individual licensed practical nurse in Bronx, New York, licensed in New York (183896-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1003935941

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameIVYLYN GORDON

Location Address3480 SEYMOUR AVE, APT # 1 BBronx, NY 10469-2144

Mailing AddressPo Box 690012Bronx, NY 10469-0760 · (718) 882-3100

Phone(718) 882-3100

Sole ProprietorYes

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1003935941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Licenses✔ Licensed in NY · 183896-1✔ Licensed in CT · 030714

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3480 SEYMOUR AVE, Bronx, NY 10469

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Other Identifiers 1

Medicaid01686497NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivylyn Gordon's NPI number?

The NPI number for Ivylyn Gordon is 1003935941. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Ivylyn Gordon located?

Ivylyn Gordon practices at 3480 Seymour Ave Apt # 1 B, Bronx, NY 10469. The listed phone number is (718) 882-3100.

What is Ivylyn Gordon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ivylyn Gordon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.