Active NPIIndividual provider

Dr. Jay B Gordon, PHD

Psychologist in Brick, New Jersey

NPI Number1255439014
Practice location
1683 Route 88, Brick, NJ 08724
Fax
732-840-7840
Last updated
November 14, 2007

Jay B Gordon is a Psychologist based in Brick, NJ. Jay B Gordon practices in Brick, NJ and has the professional credentials of PHD. The NPI Number for Jay B Gordon is 1255439014 and holds a License No. 375900 (NJ). The current practice location address for Jay B Gordon is 1683 Route 88, Brick, NJ 08724 and can be reached out via phone at 732-840-5266 and via fax at 732-840-7840.

Provider Profile Details

NPI Number
1255439014
Provider Name
Jay B Gordon
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1683 Route 88, Brick, NJ 08724
Phone Number
732-840-5266
Fax Number
732-840-7840
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
November 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1683 Route 88
Brick, NJ 08724
City
Brick
Zip
08724
Phone Number
732-840-5266
Fax Number
732-840-7840
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
1683 Route 88
Brick, NJ 08724
City
Brick
State
NJ
Zip
08724
Phone Number
732-840-5266
Fax Number
732-840-7840

License Information

License Number
375900
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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. Jay B Gordon, PHD?

The NPI number of Dr. Jay B Gordon, PHD is 1255439014. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jay B Gordon, PHD?

Dr. Jay B Gordon, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 375900.

Where does Dr. Jay B Gordon, PHD practice?

The practice location is 1683 Route 88, Brick, NJ 08724. The office can be reached at 732-840-5266 (phone) or 732-840-7840 (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 1255439014 directly on the NPPES registry website.

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