DR. JEFFREY M GORDON (NPI# 1912042722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912042722 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M GORDON |
| Credential | D.M.D.,M.M.SC |
| Practice Address |
130 Kinderkamack Rd Suite 202 River Edge NJ 07661-1939 |
| Practice Telephone | 2014878329 |
| Mailing Telephone | 2014878329 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DI112961 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417294026 | Jeffrey Paul Gordon | Pharmacist | 3740 S Ocean Blvd, Highland Beach, FL 33487-3400 | 2013-01-16 |
| 1932371259 | Jeffrey Glen Gordon | Dentist | 2501 W 69th St, Chicago, IL 60629 | 2008-03-26 |
| 1215008495 | Jeffrey Stephen Gordon | Physical Therapist | 1755 Westwood Way # 7, Fairbanks, AK 99709-4064 | 2006-11-10 |
| 1285713263 | Jeffrey H Gordon I | Dentist | 1764 Uinta Way Ste E1, Park City, UT 84098-7674 | 2006-11-02 |
| 1285120451 | Jeffrey Andrew Gordon | Counselor | 2865 Logan Ave, San Diego, CA 92113 | 2018-07-10 |
| 1588169213 | Jeffrey Gordon | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2018-03-26 |
| 1770800310 | Jeffrey J Gordon | Acupuncturist | 1 West St, Pittsfield, MA 01201-6298 | 2010-04-21 |
| 1790914943 | Jeffrey P Gordon | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103 | 2009-07-09 |
| 1356579064 | Jeffrey Scott Gordon | Counselor | 935b Spring St, Placerville, CA 95667-4523 | 2009-07-01 |
| 1093872020 | Jeffrey Scott Gordon | Chiropractor | 305 Sw 7th Ter, Gainesville, FL 32601-6458 | 2007-01-02 |
| Street Address |
130 KINDERKAMACK RD SUITE 202 |
| City | RIVER EDGE |
| State | NJ |
| Zip Code | 07661-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385225 | Robert James Gallo | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2005-06-11 |
| 1346662012 | River Edge Family Dental | Dentist | 130 Kinderkamack Rd, Suite 303, River Edge, NJ 07661-1939 | 2014-01-14 |
| 1225367089 | Amerson Women Health Care | Obstetrics & Gynecology | 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | 2009-12-08 |
| 1962683334 | Riverside Oral Surgery-river Edge | Dentist | 130 Kinderkamack Rd, Suite 204, River Edge, NJ 07661-1939 | 2007-11-14 |
| 1043415342 | Aditi Chhada | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2007-06-18 |
| 1780734277 | Marlen Martirossian | Dentist | 130 Kinderkamack Rd, Suite 306, River Edge, NJ 07661-1939 | 2007-01-10 |
| 1912060708 | Margaret S Ravits | Dermatology | 130 Kinderkamack Rd, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1962565762 | Margaret Ravits Md | Dermatology | 130 Kinderkamack Rd, Suite 205, River Edge, NJ 07661-1939 | 2006-12-19 |
| 1750459467 | Hackensack Gastroenterology Associates | Specialist | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-12-01 |
| 1043383995 | Eric R Rosendorf | Internal Medicine | 130 Kinderkamack Rd, Suite 301, River Edge, NJ 07661-1939 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005151 | Dongwuk Shin | Internal Medicine | 130 Kinderkamack Rd., River Edge, NJ 07661 | 2015-02-11 |
| 1093057861 | Faina Ratner | Registered Nurse | 168 Oxford Ter, Apt # 1, River Edge, NJ 07661 | 2013-03-20 |
| 1700077674 | William Peter Kalosieh | Marriage & Family Therapist | 739 Summit Ave, River Edge, NJ 07661 | 2007-08-06 |
| 1124220959 | Angela's Angels Home Health Agency | Home Health | 912 Kinderkamack Road, Suite 6, River Edge, NJ 07661 | 2007-06-04 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| 1174608178 | Jay Paul Granat | Psychologist | 1060 Main Street, Suite 307, River Edge, NJ 07661 | 2006-10-26 |
| 1912967464 | Theodore Falk | Allergy & Immunology | 63 Grand Ave, Ste 100, River Edge, NJ 07661 | 2006-03-27 |
| 1386149870 | Sharyn Zisa | Social Worker | 1060 Main St Ste 303, River Edge, NJ 07661 | 2018-03-27 |
| 1760654776 | Mark David Chapman | Social Worker | 117 Kinderkamack Rd, 2nd Floor, River Edge, NJ 07661 | 2008-03-31 |
| 1861697286 | Loren M Gelberg-goff | Social Worker | 200 Oak Ave, River Edge, NJ 07661-1028 | 2007-06-16 |
| Find all providers in zip 07661 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
| City | RIVER EDGE |
| Zip Code | 07661 |
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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.