MS. AMANDA R GORDON (NPI# 1336765973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336765973 |
| Entity Type | Individual |
| Full Name | MS. AMANDA R GORDON |
| Credential | M.D. |
| Practice Address |
121 Dekalb Avenue Brooklyn NY 11201 |
| Practice Telephone | 7182506604 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071363 | Amanda Gordon | Counselor | 56 Parmenter Ln, North Attleboro, MA 02760-1309 | 2020-07-28 |
| 1053968883 | Amanda Gordon | Technician | 322 Anton Ct, Eugene, OR 97402-2410 | 2019-08-26 |
| 1649749466 | Amanda Gordon | Family Medicine | 598 N Union Ave Ste 350, New Braunfels, TX 78130-4196 | 2018-11-21 |
| 1376934265 | Amanda Joy Gordon | Counselor | 10200 W 44th Ave Ste 101, Wheat Ridge, CO 80033-2838 | 2015-02-12 |
| 1518178565 | Amanda Gordon | Physical Therapist | 14606 Rainbow Ave, Cleveland, OH 44111-2221 | 2007-05-24 |
| 1194367565 | Amanda Gordon | Pharmacist | 2100 N Bechtle Ave, Springfield, OH 45504-1575 | 2019-10-17 |
| 1043705031 | Amanda Gordon | Nurse Practitioner | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2018-06-22 |
| 1528569704 | Amanda Jean Gordon | Occupational Therapist | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 | 2018-02-23 |
| 1780103143 | Amanda B Gordon | Nurse Practitioner | 1718 Catlin Dr, Barnhart, MO 63012-1277 | 2017-09-15 |
| 1558710467 | Amanda Marie Gordon | Behavioral Analyst | 5595 Equity Ave Ste 400, Reno, NV 89502-2396 | 2016-06-10 |
| Street Address |
121 DEKALB AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849559 | Ani Kalfayan | Anesthesiology | 121 Dekalb Avenue, Brooklyn, NY 11201 | 2005-05-23 |
| 1134746894 | Vikash Adrian Anderson Ramtahal | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, Brooklyn, NY 11201 | 2020-06-29 |
| 1548886583 | Mandeep Kaur Brar | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201-5425 | 2020-06-24 |
| 1649896689 | Alex Charles Vertes | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, The Brooklyn Hospital Center, Department of Surgery, Mo, Brooklyn, NY 11201 | 2020-06-24 |
| 1588280697 | Gurvinder Singh Dhaliwal | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201-5425 | 2020-06-24 |
| 1861017766 | Surbhi Singh | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201 | 2020-06-16 |
| 1164043410 | Oluwaseun Odutola | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201 | 2020-04-28 |
| 1356901508 | Rebecca Madeline Khaimova | Pharmacist | 121 Dekalb Avenue, Brooklyn, NY 11201-1120 | 2019-06-19 |
| 1922569235 | Keerthi Reddy Ramireddy | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201-5425 | 2019-03-28 |
| 1851898951 | Ajay Paul Singh Hira | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, House Staff Administration, Brooklyn, NY 11201-5493 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.