MS. MURIEL P GORDON NP NPI 1902816028

NPI Information

  • NPI: 1902816028
  • Provider Name: MS. MURIEL P GORDON, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1080 SUNRISE HWY
    MAXINE POSTAL TRI COMMUNITY CLINIC
    AMITYVILLE, NY
    ZIP 11701
  • Phone: (631) 854-1022

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NPI Details

MS. Muriel P Gordon, NP is a pediatrics nurse practitioner in Amityville, NY. MS. Muriel P Gordon, NP NPI is 1902816028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1080 SUNRISE HWY
MAXINE POSTAL TRI COMMUNITY CLINIC
AMITYVILLE, NY
ZIP 11701
Phone: (631) 854-1022
Fax: (631) 854-1031

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.

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
1363LP0200XNurse PractitionerPediatricsF3806541NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S86460MEDICARE UPIN
201770290MEDICAIDNEW YORK
3MG091N4310MEDICARE ID-TYPE UNSPECIFIED

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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