Individual provider · Type 1 NPI

Jerry Gordon

Contractor · Norht Bergen, NJ

NPI number 1194520015 Active

Practice location

9238 John F Kennedy Blvd
Norht Bergen, NJ 07047

Fax (212) 888-6024

Mailing address

560 Hudson St Ste 301
Hackensack, NJ 07601-6655

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

Another provider at this address

About NPI 1194520015

Jerry Gordon's National Provider Identifier is 1194520015, issued on Feb 14, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Norht Bergen, NJ. The record was last updated on Feb 14, 2025.