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

Mr. Odell Delroy Gordon, NP

Individual provider Family Nurse Practitioner · NPI 1659784809

Mr. Odell Delroy Gordon, NP is a Nurse Practitioner in Kingston, New York. Qualified in 2014, 12 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

40 Hurley Ave Ste 4
Kingston, NY 12401-3739
Phone: (845) 338-5600
Fax: (845) 338-3058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Williamson St, Elizabeth, NJ 07202-3625 — (908) 994-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ14923500 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F338818-1 (NY)

Record details

NPI number1659784809
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rwjbh Observation Associates Llc — 971 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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