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YASHI GORDON NP
NPI 1568093003
Nurse Practitioner - Family in Hollis, NY

Active since February 03, 2020PECOS EnrolledAccepts Medicare Assignment
18808 JAMAICA AVE, HOLLIS, NY 11423(718) 413-7312(914) 669-3097 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2023, Feb 3, 2020 (2 updates tracked since 2020).

About Yashi Gordon Np NPPES

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

YASHI GORDON NP (NPI 1568093003) is an individual family provider in Hollis, New York, licensed in New York (345295) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1568093003
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYASHI GORDONCredential: NP
Location Address18808 JAMAICA AVEHollis, NY 11423-2556
Mailing Address127 Maple LnMedford, NY 11763-1027 · (718) 913-2365 · Fax (914) 669-3097
Phone(718) 413-7312
Fax(914) 669-3097
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 3, 2020
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1568093003 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
Licenses✔ Licensed in NY · 345295✔ Licensed in NY · F34529501
18808 JAMAICA AVE, Hollis, NY 11423
Open in Google Maps ↗

Secondary Practice Location 1

Location 11619 BroadwayNew York, NY 10019-7412 · Phone (646) 416-5752

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yashi Gordon Np 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 ID7113371659
PECOS Enrollment IDI20231002002830
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Yashi Gordon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Floating Hospital Inc.
7.5 mi
Federally Qualified Health Center (FQHC)
515 BLAKE AVE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1730592403 (718) 498-4002
North Shore Lij, Urgent Care, P.C.
7.5 mi
Urgent Care
243 MERRICK RD
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: North Shore Lij Urgent Care PC
  • 210 clinicians in this Medicare group
NPI 1679970891 (516) 537-9063
United Cerebral Palsy Of New York City Inc
11 mi
Rehabilitation
122 E 23RD ST, SUITE 105
New York, NY 10010
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1730302019 (212) 683-6700
New York University
1,041 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11423 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

BODY BY YASHI GORDON RPN PLLC
Nurse Practitioner (Family)
18808 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 913-2365

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 Yashi Gordon's NPI number?

The NPI number for Yashi Gordon is 1568093003. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Yashi Gordon located?

Yashi Gordon practices at 18808 Jamaica Ave, Hollis, NY 11423. The listed phone number is (718) 413-7312.

What is Yashi Gordon's specialty?

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

Is Yashi Gordon enrolled in Medicare?

Yes. Yashi 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.

Which organizations bill Medicare for Yashi Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yashi Gordon reassigns Medicare benefits to 4 organizations: The Floating Hospital Inc. (Brooklyn, NY), North Shore Lij, Urgent Care, P.C. (Rockville Centre, NY), United Cerebral Palsy Of New York City Inc (New York, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yashi Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Yashi Gordon affiliated with any hospitals?

According to CMS data, Yashi Gordon is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Yashi Gordon was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.