Dr. Dustin J Gordon, PHD
Clinical Neuropsychologist in Ridgwood, New Jersey
1124126404- Practice location
- 61 N. Maple Ave., Ste 103, Ridgwood, NJ 07450
- Phone
- 201-670-9773
- Fax
- 973-427-1463
- Last updated
- July 8, 2007
Dustin Joel Gordon is a Clinical Neuropsychologist based in Ridgwood, NJ. Dustin Joel Gordon practices in Ridgwood, NJ and has the professional credentials of PHD. The NPI Number for Dustin Joel Gordon is 1124126404 and holds a License No. 3610 (NJ). The current practice location address for Dustin Joel Gordon is 61 N. Maple Ave., Ste 103, Ridgwood, NJ 07450 and can be reached out via phone at 201-670-9773 and via fax at 973-427-1463.
Provider Profile Details
- NPI Number
- 1124126404
- Provider Name
- Dustin Joel Gordon
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 61 N. Maple Ave., Ste 103, Ridgwood, NJ 07450
- Phone Number
- 201-670-9773
- Fax Number
- 973-427-1463
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 N. Maple Ave.
Ste 103
Ridgwood, NJ 07450 - City
- Ridgwood
- State
- New Jersey
- Zip
- 07450
- Phone Number
- 201-670-9773
- Fax Number
- 973-427-1463
Provider Business Mailing Address Details
- Address
- 61 N. Maple Ave.
Ste 103
Ridgwood, NJ 07450 - City
- Ridgwood
- State
- NJ
- Zip
- 07450
- Phone Number
- 201-670-9773
- Fax Number
- 973-427-1463
License Information
- License Number
- 3610
- License State
- NJ
- Taxonomy
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinical Neuropsychologists near Ridgwood, NJ
View all Clinical Neuropsychologists in Ridgwood →Frequently Asked Questions
What is the NPI number of Dr. Dustin J Gordon, PHD?
The NPI number of Dr. Dustin J Gordon, PHD is 1124126404. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Dustin J Gordon, PHD?
Dr. Dustin J Gordon, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NJ under license number 3610.
Where does Dr. Dustin J Gordon, PHD practice?
The practice location is 61 N. Maple Ave., Ste 103, Ridgwood, NJ 07450. The office can be reached at 201-670-9773 (phone) or 973-427-1463 (fax).
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 1124126404 directly on the NPPES registry website.