JASON GEORGE GORDON (NPI# 1801305172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801305172 |
| Entity Type | Organization |
| Organization Name | JASON GEORGE GORDON |
| Practice Address |
179 Davis Ave Piscataway NJ 08854-2467 |
| Practice Telephone | 9084512550 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | JASON GORDON (CEO) |
| Authorized Official Telephone | 9084512550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
179 DAVIS AVE |
| City | PISCATAWAY |
| State | NJ |
| Zip Code | 08854-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114339553 | Jason Gordon | Counselor | 179 Davis Ave, Piscataway, NJ 08854-2467 | 2014-05-20 |
| 1972037604 | Kounseling 4 Kids | Community/Behavioral Health | 179 Davis Ave, Piscataway, NJ 08854-2467 | 2017-04-19 |
| 1922555440 | Kounseling 4 Kids | Community/Behavioral Health | 179 Davis Ave, Piscataway, NJ 08854-2467 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327548 | Sally Ng | Student in an Organized Health Care Education/Training Program | 675 Hoes Lane West, Piscataway, NJ 08854 | 2020-05-16 |
| 1932728870 | Mawaddah Ahmed Mohamed Khalil Alislambouli | Student in an Organized Health Care Education/Training Program | 1701 Quincy Street, Piscataway, NJ 08854 | 2020-04-10 |
| 1457831273 | Lindsay Brooke Gonzalez | Social Worker | Rutgers Day School- Rutgers University Ubhc, 671 Hoes Lane, Piscataway, NJ 08854 | 2018-08-21 |
| 1568941524 | Step Three Support Services, LLC | In Home Supportive Care | 1297 Centennial Ave Ste 5-102, Piscataway, NJ 08854 | 2018-08-10 |
| 1942788252 | Adrienne Wallace | Speech-Language Pathologist | 170 Birchview Dr, Piscataway, NJ 08854 | 2018-07-31 |
| 1215423066 | Eugene Reid | Physical Medicine & Rehabilitation | 250 Old New Brunswick Road, Building 12, Piscataway Township, NJ 08854 | 2018-07-05 |
| 1649768326 | Madhusree Chowdhury | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, 675 Hoes Lane, Piscataway, NJ 08854 | 2018-04-27 |
| 1033635065 | Achieving Goals, LLC | Community Health Worker | 83 Kensington Drive, Piscataway, NJ 08854 | 2017-08-22 |
| 1750801650 | Neil O'connor | Case Manager/Care Coordinator | 151 Centenial Ave, Piscataway, NJ 08854 | 2017-06-21 |
| 1235680240 | Manthan Patel | Pharmacist | 1222 Hanover St, Piscataway, NJ 08854 | 2016-10-14 |
| Find all providers in zip 08854 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766375 | Grace Behavioral Health Services | Clinic/Center | 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | 2020-09-24 |
| 1881213783 | Operation Hope | Clinic/Center | 45 Cross Rd, Colts Neck, NJ 07722-1211 | 2020-04-10 |
| 1003441809 | Madison Counseling LLC | Clinic/Center | 333 Main St Ste 200, Madison, NJ 07940-2370 | 2020-03-12 |
| 1386108488 | On Your Mark Teen Counseling Center, LLC | Clinic/Center | 605 Valley Rd Ste 4, Upper Montclair, NJ 07043-1455 | 2019-01-23 |
| 1699247635 | Stanford Ctc Services, LLC | Clinic/Center | 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 | 2018-12-31 |
| 1114496916 | Transformations Therapy Center LLC | Clinic/Center | 110 Hillside Ave Ste 301, Springfield, NJ 07081-3007 | 2018-11-21 |
| 1508345257 | Connect Counseling & Wellness, LLC | Clinic/Center | 155 County Rd Ste 14, Cresskill, NJ 07626-2200 | 2018-08-13 |
| 1730694688 | Comprehensive Behavioral Healthcare, Inc. | Clinic/Center | 187 Kearny Ave, Kearny, NJ 07032-2437 | 2017-12-13 |
| 1295258424 | Cnv Counseling Services LLC | Clinic/Center | 22 Coventry Dr, Freehold, NJ 07728-3164 | 2017-07-19 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PISCATAWAY |
| Zip Code | 08854 |
Please comment or provide details below to improve the information on JASON GEORGE GORDON.
| 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.