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



The typical physician office visit costs for Medicare beneficiaries in this area are: $24.52 for a new patient copayment and $27.89 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08816 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.09
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $24.52
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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

The NPI number assigned to this healthcare provider is 1013713734, enumerated as an "individual" on February 22, 2025.

The provider is located at 330 RUES LN EAST BRUNSWICK, NJ 08816 and the phone number is (732) 254-3900.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.