# RODRICO GORDON NP IN ADULT HEALTH PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326924317
- **Authorized official:** RODRICO GORDON (OWNER)
- **Authorized official phone:** (929) 329-7900

## Contact information

- **Practice address:** 19019 LINDEN BLVD \# 18, JAMAICA, NY 11412-3361
- **Practice address phone:** (929) 329-7900
- **Practice address fax:** (646) 631-9188
- **Mailing address:** 13517 217TH ST, LAURELTON, NY 11413-1929
- **Mailing address phone:** (929) 329-7900
- **Mailing address fax:** (646) 631-9188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 10/13/2026