Active NPIIndividual provider

Don Gourdine, MS, PA-C

Physician Assistant, Surgical in Somerset, New Jersey

NPI Number1215389739
Practice location
3 Cumberland CT, Somerset, NJ 08873-1456
Fax
—
Last updated
November 13, 2026

Don Gourdine is a Physician Assistant, Surgical based in Somerset, NJ. Don Gourdine practices in Somerset, NJ and has the professional credentials of MS, PA-C. The NPI Number for Don Gourdine is 1215389739 and holds a License No. 10005524A (IN). The current practice location address for Don Gourdine is 3 Cumberland CT, Somerset, NJ 08873-1456 and can be reached out via phone at 201-232-4458.

Provider Profile Details

NPI Number
1215389739
Provider Name
Don Gourdine
Credential
MS, PA-C
Provider Entity Type
Individual
Gender
Male
Address
3 Cumberland CT, Somerset, NJ 08873-1456
Phone Number
201-232-4458
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2016
Last Update Date
November 13, 2026
Certification Date
November 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Cumberland CT
Somerset, NJ 08873-1456
Zip
08873-1456
Phone Number
201-232-4458
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
3 Cumberland CT
Somerset, NJ 08873-1456
City
Somerset
State
NJ
Zip
08873-1456
Phone Number
201-232-4458

License Information

License Number (1)
10005524A
License State (1)
IN
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5601013966
License State (2)
MI
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
25MP00397900
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · 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 Don Gourdine, MS, PA-C?

The NPI number of Don Gourdine, MS, PA-C is 1215389739. It was assigned on July 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Don Gourdine, MS, PA-C?

Don Gourdine, MS, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in IN under license number 10005524A.

Where does Don Gourdine, MS, PA-C practice?

The practice location is 3 Cumberland CT, Somerset, NJ 08873-1456. The office can be reached at 201-232-4458 (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 1215389739 directly on the NPPES registry website.

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