LATASHA GORDON
NPI 1013713734
Nurse Practitioner - Family in East Brunswick, NJ

Active since February 22, 2025PECOS EnrolledAccepts Medicare Assignment
330 RUES LN, EAST BRUNSWICK, NJ 08816(732) 254-3900 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2025, Feb 22, 2025 (2 updates tracked since 2025).

About Latasha Gordon NPPES

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

LATASHA GORDON (NPI 1013713734) is an individual family provider in East Brunswick, New Jersey, licensed in New Jersey (26NJ15267500) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013713734
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATASHA GORDON
Location Address330 RUES LNEast Brunswick, NJ 08816-3608
Mailing Address1427 Hamilton StSomerset, NJ 08873-3344 · (732) 763-1053
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 22, 2025
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1013713734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ15267500
330 RUES LN, East Brunswick, NJ 08816

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Latasha Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820511975
PECOS Enrollment IDI20250328002560
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
330 RUES LN
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN, MINUTE CLINIC
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Family)
330 RUES LN
EAST BRUNSWICK, NJ 08816
Pharmacist
330 RUES LN
EAST BRUNSWICK, NJ 08816

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 Latasha Gordon's NPI number?

The NPI number for Latasha Gordon is 1013713734. It was assigned to this individual provider in the NPPES registry on February 22, 2025.

Where is Latasha Gordon located?

Latasha Gordon practices at 330 Rues Ln, East Brunswick, NJ 08816. The listed phone number is (732) 254-3900.

What is Latasha Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latasha Gordon enrolled in Medicare?

Yes. Latasha Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Latasha Gordon was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.