Individual provider · Type 1 NPI

Audrey Alicia Gordeuk, PHYSICIAN ASSISTANT

Physician Assistant · Bloomfield, NJ

NPI number 1134738396 Active

Practice location

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00572700 (NJ)
Physician Assistant 363A00000X025140 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134738396

Audrey Alicia Gordeuk, PHYSICIAN ASSISTANT's National Provider Identifier is 1134738396, issued on Jul 23, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomfield, NJ. The record was last updated on Apr 30, 2026.