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MIRIAM GORDON PEDIATRIC NP PC
NPI 1306233408
Nurse Practitioner - Pediatrics in Brooklyn, NY

Active since April 16, 2015
6010 BAY PKWY FL 9, BROOKLYN, NY 11204(718) 238-2100(718) 815-8122 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miriam Gordon Pediatric Np Pc NPPES

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

MIRIAM GORDON PEDIATRIC NP PC (NPI 1306233408) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since April 2015. The organization lists Miriam Gordon, Coo, as its authorized official.

NPPES Registry Identity

NPI1306233408
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameMIRIAM GORDON PEDIATRIC NP PC
Location Address6010 BAY PKWY FL 9Brooklyn, NY 11204-6079
Mailing Address302 Manor RdStaten Island, NY 10314-2408 · (718) 815-1000 · Fax (718) 815-8122
Phone(718) 238-2100
Fax(718) 815-8122
Organization SubpartNo
Authorized OfficialMiriam GordonCoo · (718) 815-1000
Enumeration DateApril 16, 2015
✔ NPI 1306233408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 381940
6010 BAY PKWY FL 9, Brooklyn, NY 11204
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Other Identifiers 1

Medicaid02460364NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Miriam Gordon Pediatric Np PC's NPI number?

The NPI number for Miriam Gordon Pediatric Np PC is 1306233408. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Miriam Gordon Pediatric Np PC located?

Miriam Gordon Pediatric Np PC is located at 6010 Bay Pkwy Fl 9, Brooklyn, NY 11204. The listed phone number is (718) 238-2100.

What is Miriam Gordon Pediatric Np PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Miriam Gordon Pediatric Np PC was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.