- Practice location
- 9238 John F Kennedy Blvd, Norht Bergen, NJ 07047
- Phone
- 718-551-1580
- Fax
- 212-888-6024
- Last updated
- February 14, 2025
Jerry Gordon is a Contractor based in Norht Bergen, NJ. Jerry Gordon practices in Norht Bergen, NJ. The NPI Number for Jerry Gordon is 1194520015. The current practice location address for Jerry Gordon is 9238 John F Kennedy Blvd, Norht Bergen, NJ 07047 and can be reached out via phone at 718-551-1580 and via fax at 212-888-6024.
Provider Profile Details
- NPI Number
- 1194520015
- Provider Name
- Jerry Gordon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9238 John F Kennedy Blvd, Norht Bergen, NJ 07047
- Phone Number
- 718-551-1580
- Fax Number
- 212-888-6024
- Primary Taxonomy
- Contractor · 171W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 14, 2025
- Last Update Date
- February 14, 2025
- Certification Date
- February 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9238 John F Kennedy Blvd
Norht Bergen, NJ 07047 - City
- Norht Bergen
- State
- New Jersey
- Zip
- 07047
- Phone Number
- 718-551-1580
- Fax Number
- 212-888-6024
Provider Business Mailing Address Details
- Address
- 560 Hudson St Ste 301
Hackensack, NJ 07601-6655 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6655
- Phone Number
- 201-641-2125
- Fax Number
- 212-888-6024
License Information
- Taxonomy
- Contractor · 171W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Contractors near Norht Bergen, NJ
View all Contractors in Norht Bergen →Frequently Asked Questions
What is the NPI number of Jerry Gordon?
The NPI number of Jerry Gordon is 1194520015. It was assigned on February 14, 2025 and is currently active in the NPPES registry.
What is the specialty of Jerry Gordon?
Jerry Gordon is registered under the primary taxonomy Contractor (code 171W00000X).
Where does Jerry Gordon practice?
The practice location is 9238 John F Kennedy Blvd, Norht Bergen, NJ 07047. The office can be reached at 718-551-1580 (phone) or 212-888-6024 (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 1194520015 directly on the NPPES registry website.