Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY GORDON
ActiveJERRY GORDON is a Contractor healthcare provider located in NORHT BERGEN, New Jersey. NPI 1194520015 is currently active in the NPPES registry. Verify at CMS.
Contractor · NORHT BERGEN, NJ
Registration Details
- NPI Number
- 1194520015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2025 (1.5155252655691 yrs)
- Last Updated
- Feb 14, 2025
Practice Information
- Address
-
9238 JOHN F KENNEDY BLVDNORHT BERGEN, NJ, 07047Browse NJ providers · Browse ZIP 07047
- Phone
- 7185511580
- Fax
- 2128886024
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.