MRS. AVIGAYL GORDON (NPI# 1487812293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487812293 |
| Entity Type | Individual |
| Full Name | MRS. AVIGAYL GORDON |
| Credential | PA |
| Practice Address |
3 Beaver Dam Rd Pomona NY 10970-3202 |
| Mailing Address |
535 E 70th St New York NY 10021-4872 |
| Practice Telephone | 6465730316 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 23 008697 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 BEAVER DAM RD |
| City | POMONA |
| State | NY |
| Zip Code | 10970-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| Find all providers in zip 10970 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033278 | Kandin Maraquin | Physician Assistant | 1415 Ledgestone Ln, Pomona, CA 91767-3566 | 2019-09-25 |
| 1285123653 | Catherine Yaw | Physician Assistant | 450 E 2nd St, Pomona, CA 91766-1950 | 2018-05-01 |
| 1174052898 | Daniel Paul Bunker | Physician Assistant | 2410 N Towne Ave Unit 57, Pomona, CA 91767-2449 | 2017-06-06 |
| 1982074548 | Kathryn Taraneh Johnson | Physician Assistant | 1532 E. San Bernardino Ave, Suite A2, Pomona, CA 91762-4913 | 2015-09-25 |
| 1770982209 | Susan Kazumi Sasaki Pickard | Physician Assistant | 260 E. Holt Ave, Pomona, CA 91767 | 2014-08-20 |
| 1831493113 | Vida Vickers | Physician Assistant | 2112 S Garey Ave Ste C, Pomona, CA 91766-5600 | 2010-12-31 |
| 1124337241 | Aracely Perales | Physician Assistant | 716 E. Mission Blvd, Suite D, Pomona, CA 91766 | 2010-10-07 |
| 1235372145 | Jane Ellen Rodgers | Physician Assistant | 790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 | 2009-04-08 |
| 1275784852 | Reynaldo C Obrero | Physician Assistant | 502 S Garey Ave, Pomona, CA 91766-3319 | 2008-10-01 |
| 1942366281 | Yoodiy A Gonzales | Physician Assistant | 822 N Garey Ave, Pomona, CA 91767-4616 | 2006-12-29 |
| Find all providers in POMONA | ||||
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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.