Audrey A Gordeuk, PHYSICIAN ASSISTANT
Physician Assistant in Bloomfield, New Jersey
1134738396- Practice location
- 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
- Phone
- 877-532-7837
- Fax
- —
- Last updated
- April 30, 2026
Audrey Alicia Gordeuk is a Physician Assistant based in Bloomfield, NJ. Audrey Alicia Gordeuk practices in Bloomfield, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Audrey Alicia Gordeuk is 1134738396 and holds a License No. 25MP00572700 (NJ). The current practice location address for Audrey Alicia Gordeuk is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 and can be reached out via phone at 877-532-7837.
Provider Profile Details
- NPI Number
- 1134738396
- Provider Name
- Audrey Alicia Gordeuk
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
- Phone Number
- 877-532-7837
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Audrey Alicia Merenda, PA (Former Name)
- Provider Enumeration Date
- July 23, 2020
- Last Update Date
- April 30, 2026
- Certification Date
- April 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1455 Broad St Ste 250
Bloomfield, NJ 07003-3066 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3066
- Phone Number
- 877-532-7837
Provider Business Mailing Address Details
- Address
- 1455 Broad St Ste 250
Bloomfield, NJ 07003-3066 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3066
- Phone Number
- 877-532-7837
License Information
- License Number (1)
- 25MP00572700
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 025140
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Audrey A Gordeuk, PHYSICIAN ASSISTANT?
The NPI number of Audrey A Gordeuk, PHYSICIAN ASSISTANT is 1134738396. It was assigned on July 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Audrey A Gordeuk, PHYSICIAN ASSISTANT?
Audrey A Gordeuk, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00572700.
Where does Audrey A Gordeuk, PHYSICIAN ASSISTANT practice?
The practice location is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066. The office can be reached at 877-532-7837 (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 1134738396 directly on the NPPES registry website.