Active NPIIndividual provider

Kim Gordon, RN, CRNA

Nurse Anesthetist, Certified Registered in Neptune City, New Jersey

NPI Number1003269754
Practice location
1945 Nj-33, Neptune City, NJ 07753
Fax
—
Last updated
April 11, 2023

Kim Gordon is a Nurse Anesthetist, Certified Registered based in Neptune City, NJ. Kim Gordon practices in Neptune City, NJ and has the professional credentials of RN, CRNA. The NPI Number for Kim Gordon is 1003269754 and holds a License No. 26NR15879000 (NJ). The current practice location address for Kim Gordon is 1945 Nj-33, Neptune City, NJ 07753 and can be reached out via phone at 732-775-5500.

Provider Profile Details

NPI Number
1003269754
Provider Name
Kim Gordon
Credential
RN, CRNA
Provider Entity Type
Individual
Gender
Female
Address
1945 Nj-33, Neptune City, NJ 07753
Phone Number
732-775-5500
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2016
Last Update Date
April 11, 2023
Certification Date
April 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1945 Nj-33
Neptune City, NJ 07753
Zip
07753
Phone Number
732-775-5500
Neptune City, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
76 Ridge Ter
Neptune City, NJ 07753-6614
City
Neptune City
State
NJ
Zip
07753-6614
Phone Number
732-642-0022

License Information

License Number (1)
26NR15879000
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00686800
License State (2)
NJ
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kim Gordon, RN, CRNA?

The NPI number of Kim Gordon, RN, CRNA is 1003269754. It was assigned on July 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Kim Gordon, RN, CRNA?

Kim Gordon, RN, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NR15879000.

Where does Kim Gordon, RN, CRNA practice?

The practice location is 1945 Nj-33, Neptune City, NJ 07753. The office can be reached at 732-775-5500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003269754 directly on the NPPES registry website.

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