DON GOURDINE MS, PA-C
NPI 1215389739
Physician Assistant - Surgical in Somerset, NJ

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
3 CUMBERLAND CT, SOMERSET, NJ 08873(201) 232-4458 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Don Gourdine Ms, Pa-c NPPES

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

DON GOURDINE MS, PA-C (NPI 1215389739) is an individual surgical provider in Somerset, New Jersey, licensed in New Jersey (25MP00397900) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215389739
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDON GOURDINECredential: MS, PA-C
Location Address3 CUMBERLAND CTSomerset, NJ 08873-1456
Mailing Address3 Cumberland CtSomerset, NJ 08873-1456 · (201) 232-4458
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2016
NPI 1215389739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00397900
3 CUMBERLAND CT, Somerset, NJ 08873

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

Don Gourdine Ms, Pa-c 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 ID9436432754
PECOS Enrollment IDI20170213001049
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

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 Don Gourdine's NPI number?

The NPI number for Don Gourdine is 1215389739. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Don Gourdine located?

Don Gourdine practices at 3 Cumberland Ct, Somerset, NJ 08873. The listed phone number is (201) 232-4458.

What is Don Gourdine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Don Gourdine enrolled in Medicare?

Yes. Don Gourdine 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.

Is Don Gourdine affiliated with any hospitals?

According to CMS data, Don Gourdine is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Don Gourdine was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.