JONATHAN BENNEKE GORMAN (NPI# 1790208569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790208569 |
| Entity Type | Individual |
| Full Name | JONATHAN BENNEKE GORMAN |
| Practice Address |
2360 Morris Ave Union NJ 07083-5707 |
| Mailing Address |
130 Ogden Ave # 2 Jersey City NJ 07307-1310 |
| Practice Telephone | 6785765141 |
| Mailing Telephone | 6785765141 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000030563 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891118394 | Jonathan Gorman | Psychologist | 405 Allegheny Ave, Towson, MD 21204 | 2014-02-04 |
| 1912164989 | Jonathan Harvey Gorman | Dentist | 24 Hospital Ave, Danbury Hospital, Danbury, CT 06810-6099 | 2008-05-19 |
| Street Address |
2360 MORRIS AVE |
| City | UNION |
| State | NJ |
| Zip Code | 07083-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144577495 | Nicole L Witzig | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2012-08-06 |
| 1356940423 | Mikhail Beg | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2020-10-20 |
| 1801342704 | Christina Gioeli | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2016-08-30 |
| 1073905824 | Jose M. Gonzalez-velasquez | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2015-03-02 |
| 1548662091 | Yasmin Abd Elhady | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2014-09-16 |
| 1164821989 | Matthew Cirelli | Physical Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2014-08-18 |
| 1558386094 | Donald David | Occupational Therapist | 2360 Morris Ave, Union, NJ 07083-5707 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234417 | Stephen Morton | Specialist/Technologist | 2848 Debra Way, Union, NJ 07083-4113 | 2020-01-11 |
| 1942843255 | Megan Ashley Shafferkoetter | Specialist/Technologist | 610 Lindsey Dr, Union, MO 63084-5106 | 2019-10-21 |
| 1174080592 | Calvin Orallo | Specialist/Technologist | 1221 Magie Ave Apt 27d, Union, NJ 07083-8061 | 2019-02-21 |
| 1588192215 | Ashley Rose Jolly | Specialist/Technologist | 1163 Lakeside Dr, Union, SC 29379-9676 | 2017-05-25 |
| 1205293503 | Brooke Renee Kidd | Specialist/Technologist | 105 Worman Dr, Union, OH 45322-3239 | 2016-01-19 |
| 1558768333 | Danielle Peters | Specialist/Technologist | 380 Covey Ct, Union, MO 63084-2891 | 2014-11-23 |
| 1093915761 | Denise Elaine Wujciak | Specialist/Technologist | Kean University, 1000 Morris Avenue, D103, Union, NJ 07083 | 2007-07-20 |
| 1841408820 | Linda M Ionta | Specialist/Technologist | 2350 N 3rd St, Union, NJ 07083-5049 | 2007-05-21 |
| 1629099452 | Elizabeth Esposito | Specialist/Technologist | 1000 Morris Ave Ste 1, Union, NJ 07083-7131 | 2006-07-21 |
| 1144281601 | Peter Joseph Neibert | Specialist/Technologist | 10068 Armstrong St, Union, KY 41091-7438 | 2006-03-31 |
| Find all providers in UNION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.