MR. DWAYNE MARLON GORDON LPN NPI 1831457548

NPI Information

  • NPI: 1831457548
  • Provider Name: MR. DWAYNE MARLON GORDON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 1325 E 46TH ST
    PH
    BROOKLYN, NY
    ZIP 11234
  • Phone: (646) 657-4756

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NPI Details

MR. Dwayne Marlon Gordon, LPN is a licensed practical nurse in Brooklyn, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Dwayne Marlon Gordon, LPN NPI is 1831457548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 E 46TH ST
PH
BROOKLYN, NY
ZIP 11234-001
Phone: (646) 657-4756

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse309467-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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