James Micheal Gordon , LPN
Licensed Practical Nurse • Miller Place, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, James Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
James Gordon, LPN was a registered Licensed Practical Nurse practicing in Miller Place, NY. Throughout an active medical career spanning 9 years, James Gordon provided care at the practice location at 33 OAKWOOD AVE until profile deactivation on 2020-11-13.
Practice Location & Contact Primary Location
33 Oakwood Ave
Miller Place, NY 117642320
Specialty Benchmarks & Practice Insights
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Practicing in Miller Place, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual 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.
Career & Practice History Timeline
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Record deactivated on November 13, 2020
NPI status registered as active in NPPES database
Registered at 33 OAKWOOD AVE, MILLER PLACE, NY 117642320 (Tel: 6314747282)
Registered at 33 OAKWOOD AVE, MILLER PLACE, NY 117642320 (Tel: 6314747282)
Recorded as JAMES GORDON, L.P.N.
Licensed Practical Nurse (License #246130-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
33 Oakwood Ave
Miller Place, NY 117642320
Phone: 6314747282
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