Active NPIIndividual provider

Adam G Gordon, OTR/L

Occupational Therapist in Teaneck, New Jersey

NPI Number1073347100
Practice location
1415 Queen Anne RD Ste 100, Teaneck, NJ 07666-3521
Fax
—
Last updated
August 30, 2024

Adam Gabriel Gordon is an Occupational Therapist based in Teaneck, NJ. Adam Gabriel Gordon practices in Teaneck, NJ and has the professional credentials of OTR/L. The NPI Number for Adam Gabriel Gordon is 1073347100 and holds a License No. 46TR01163100 (NJ). The current practice location address for Adam Gabriel Gordon is 1415 Queen Anne RD Ste 100, Teaneck, NJ 07666-3521 and can be reached out via phone at 201-837-9993.

Provider Profile Details

NPI Number
1073347100
Provider Name
Adam Gabriel Gordon
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
1415 Queen Anne RD Ste 100, Teaneck, NJ 07666-3521
Phone Number
201-837-9993
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2024
Last Update Date
August 30, 2024
Certification Date
August 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1415 Queen Anne RD Ste 100
Teaneck, NJ 07666-3521
Zip
07666-3521
Phone Number
201-837-9993
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
1415 Queen Anne RD Ste 100
Teaneck, NJ 07666-3521
City
Teaneck
State
NJ
Zip
07666-3521
Phone Number
201-837-9993

License Information

License Number
46TR01163100
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adam G Gordon, OTR/L?

The NPI number of Adam G Gordon, OTR/L is 1073347100. It was assigned on August 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Adam G Gordon, OTR/L?

Adam G Gordon, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01163100.

Where does Adam G Gordon, OTR/L practice?

The practice location is 1415 Queen Anne RD Ste 100, Teaneck, NJ 07666-3521. The office can be reached at 201-837-9993 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073347100 directly on the NPPES registry website.

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