Active NPIIndividual providerSole proprietor

Dr. Samuel J Gordon, DDS

Dentist, General Practice in Iselin, New Jersey

NPI Number1194838854
Practice location
37 Gill Ln, Iselin, NJ 08830-2800
Fax
732-283-3858
Last updated
July 8, 2007

Samuel Jay Gordon is a Dentist, General Practice based in Iselin, NJ. Samuel Jay Gordon practices in Iselin, NJ and has the professional credentials of DDS. The NPI Number for Samuel Jay Gordon is 1194838854 and holds a License No. DI 11261 (NJ). The current practice location address for Samuel Jay Gordon is 37 Gill Ln, Iselin, NJ 08830-2800 and can be reached out via phone at 732-283-0500 and via fax at 732-283-3858.

Provider Profile Details

NPI Number
1194838854
Provider Name
Samuel Jay Gordon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
37 Gill Ln, Iselin, NJ 08830-2800
Phone Number
732-283-0500
Fax Number
732-283-3858
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Gill Ln
Iselin, NJ 08830-2800
City
Iselin
Zip
08830-2800
Phone Number
732-283-0500
Fax Number
732-283-3858
Iselin, NJ 08830Get directions →

Provider Business Mailing Address Details

Address
6 Morse Way N
Holmdel, NJ 07733-1345
City
Holmdel
State
NJ
Zip
07733-1345
Phone Number
732-957-9715
Fax Number
732-283-3859

License Information

License Number
DI 11261
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Samuel J Gordon, DDS?

The NPI number of Dr. Samuel J Gordon, DDS is 1194838854. It was assigned on August 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel J Gordon, DDS?

Dr. Samuel J Gordon, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI 11261.

Where does Dr. Samuel J Gordon, DDS practice?

The practice location is 37 Gill Ln, Iselin, NJ 08830-2800. The office can be reached at 732-283-0500 (phone) or 732-283-3858 (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 1194838854 directly on the NPPES registry website.

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