Individual provider · Type 1 NPI

Rebecca Marie Gordon

Nurse Practitioner · New York, NY

NPI number 1801248596 Active

Practice location

30 Broad St Fl 45
New York, NY 10004-2942

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

  • 2196 E Williams Field Rd Ste 116, Gilbert, AZ 85295-0755 · (888) 663-6331

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X357986 (NY)
Family Nurse Practitioner 363LF0000XAP8807 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801248596

Rebecca Marie Gordon's National Provider Identifier is 1801248596, issued on Jul 6, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Nov 14, 2025.