MIRIAM GORDON PEDIATRIC NP PC
NPI 1750845137
Nurse Practitioner - Pediatrics in Staten Island, NY

Q: What is Miriam Gordon Pediatric Np PC's NPI number?

The NPI number for Miriam Gordon Pediatric Np PC is 1750845137. It was assigned to this organization in the NPPES registry on January 30, 2019.

Q: 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.

Active since January 30, 2019

7 ISMAY STREET, STATEN ISLAND, NY 10314(718) 815-1000(718) 815-1000 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1750845137) is a healthcare organization registered as a pediatrics in Staten Island, New York and active in the NPI registry since January 2019. The organization lists Miriam Blau, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750845137

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameMIRIAM GORDON PEDIATRIC NP PC

Location Address7 ISMAY STREETStaten Island, NY 10314

Mailing Address7 Ismay StreetStaten Island, NY 10314 · (718) 815-1000 · Fax (718) 815-8122

Phone(718) 815-1000

Fax(718) 815-1000

Organization SubpartNo

Authorized OfficialMiriam BlauCeo · (718) 815-8122

Enumeration DateJanuary 30, 2019

✔ NPI 1750845137 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

7 ISMAY STREET, Staten Island, NY 10314

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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 1750845137. It was assigned to this organization in the NPPES registry on January 30, 2019.

Where is Miriam Gordon Pediatric Np PC located?

Miriam Gordon Pediatric Np PC is located at 7 Ismay Street, Staten Island, NY 10314. The listed phone number is (718) 815-1000.

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 January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.