Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latasha Gordon

Individual provider Family Nurse Practitioner · NPI 1013713734

Latasha Gordon is a Nurse Practitioner in East Brunswick, New Jersey. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of New Jersey LLC, a 114-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

330 Rues Ln
East Brunswick, NJ 08816-3608
Phone: (732) 254-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15267500 (NJ)

Record details

NPI number1013713734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of New Jersey Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Brunswick