IndividualActive
Peta-Gaye Gordon
NPI 1053645341 · Registered Nurse · Medford, NY
Peta-Gaye Gordon is a Registered Nurse provider in Medford, NY (NPI 1053645341).
Provider details
- NPI number
- 1053645341
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 279643-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
127 Maple Ln
Medford, NY 11763-1027
Phone: (631) 576-5833
Street-level locationGet directions
Mailing address
127 Maple Ln
Medford, NY 11763-1027
Registry dates
- Enumerated
- 2009-09-20
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Frequently asked questions
- What is Peta-Gaye Gordon's NPI number?
- Peta-Gaye Gordon's National Provider Identifier (NPI) is 1053645341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peta-Gaye Gordon's specialty?
- Peta-Gaye Gordon is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Peta-Gaye Gordon located?
- Peta-Gaye Gordon's practice location on file with NPPES is 127 Maple Ln, Medford, NY 11763-1027.
- What is Peta-Gaye Gordon's phone number?
- The practice phone number listed in the NPPES registry for Peta-Gaye Gordon is (631) 576-5833.
- Is Peta-Gaye Gordon's NPI active?
- Yes — Peta-Gaye Gordon's NPI (1053645341) is active in the NPPES registry as of the last update on 2024-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.