Mr. Derek Gordillo
Technician/Technologist, Optician in Richland, New Jersey
1972326064- Practice location
- 322 Llewellyn Ave., Richland, NJ 08350
- Phone
- 856-285-9698
- Fax
- 856-697-0128
- Last updated
- November 6, 2024
Derek Gordillo is a Technician/Technologist, Optician based in Richland, NJ. Derek Gordillo practices in Richland, NJ. The NPI Number for Derek Gordillo is 1972326064 and holds a License No. 31TD00386800 (NJ). The current practice location address for Derek Gordillo is 322 Llewellyn Ave., Richland, NJ 08350 and can be reached out via phone at 856-285-9698 and via fax at 856-697-0128.
Provider Profile Details
- NPI Number
- 1972326064
- Provider Name
- Derek Gordillo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 322 Llewellyn Ave., Richland, NJ 08350
- Phone Number
- 856-285-9698
- Fax Number
- 856-697-0128
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2024
- Last Update Date
- November 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 322 Llewellyn Ave.
Richland, NJ 08350 - City
- Richland
- State
- New Jersey
- Zip
- 08350
- Phone Number
- 856-285-9698
- Fax Number
- 856-697-0128
Provider Business Mailing Address Details
- Address
- 322 Llewellyn Ave.
Richland, NJ 08350 - City
- Richland
- State
- NJ
- Zip
- 08350
- Phone Number
- 856-285-9698
- Fax Number
- 856-697-0128
License Information
- License Number
- 31TD00386800
- License State
- NJ
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician/Technologist, Opticians near Richland, NJ
View all Technician/Technologist, Opticians in Richland →- Healing Hands Mobile Massage Nj LLCMechanotherapist · NPI 1629845037
- Peggy MurphyBehavior Analyst · NPI 1871996553
- Matthew Pineo, ATCSpecialist/Technologist, Athletic Trainer · NPI 1245632199
- Dr. Douglas M Hargrave, DOFamily Medicine · NPI 1497700355
- Buena Regional School DistrictLocal Education Agency (LEA) · NPI 1205176989
- Buena Family Practice Center LLCFamily Medicine · NPI 1528108917
Frequently Asked Questions
What is the NPI number of Mr. Derek Gordillo?
The NPI number of Mr. Derek Gordillo is 1972326064. It was assigned on November 6, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Derek Gordillo?
Mr. Derek Gordillo is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 31TD00386800.
Where does Mr. Derek Gordillo practice?
The practice location is 322 Llewellyn Ave., Richland, NJ 08350. The office can be reached at 856-285-9698 (phone) or 856-697-0128 (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 1972326064 directly on the NPPES registry website.