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Miriam Gordon Pediatric NP PC

NPI 1750845137ActiveOrganization· Nurse Practitioner, Pediatrics· Staten Island, NY

Nurse Practitioner, Pediatrics in Staten Island, New York, registered in NPPES in January 2019. The authorized official on file is Miriam Blau, NP, Ceo.

Overview

NPI1750845137
StatusActive
Entity typeOrganization
NPI issuedJan 30, 2019
Last updated in NPPESJan 30, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Pediatrics Primary363LP0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other pediatric nurse practitioners in Staten Island

All 19 pediatric nurse practitioners in Staten Island · All pediatric nurse practitioners in New York