IndividualActive
Jerry Gordon
NPI 1194520015 · Contractor · Norht Bergen, NJ
Provider details
- NPI number
- 1194520015
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
9238 John F Kennedy Blvd
Norht Bergen, NJ 07047
Phone: (718) 551-1580
Fax: (212) 888-6024
Approximate (ZIP-level) locationGet directions
Mailing address
560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-02-14
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.