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JEANINE GURDON
NPI 1922403245
Physician Assistant in Northport, NY

Active since October 29, 2014PECOS Enrolled
15 DICK CT, NORTHPORT, NY 11768(631) 379-0271 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeanine Gurdon NPPES

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

JEANINE GURDON (NPI 1922403245) is an individual physician assistant in Northport, New York, licensed in New York (018212) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922403245
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEANINE GURDON
Location Address15 DICK CTNorthport, NY 11768-1900
Mailing Address15 Dick CtNorthport, NY 11768-1900 · (631) 379-0271
Phone(631) 379-0271
Sole ProprietorYes
Enumeration DateOctober 29, 2014
✔ NPI 1922403245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 018212
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15 DICK CT, Northport, NY 11768
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Gurdon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 11768 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jeanine Gurdon's NPI number?

The NPI number for Jeanine Gurdon is 1922403245. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Where is Jeanine Gurdon located?

Jeanine Gurdon practices at 15 Dick Ct, Northport, NY 11768. The listed phone number is (631) 379-0271.

What is Jeanine Gurdon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeanine Gurdon enrolled in Medicare?

Yes. Jeanine Gurdon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanine Gurdon was last updated on October 29, 2014. 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.