Individual provider Active NPI

Jill S Gordon, AUD

  • Audiologist-Hearing Aid Fitter
  • Freehold, NJ
National Provider Identifier
1023195484
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
MG00564 Issued in NJ
Practice address
4257 US Highway 9 BLDG 6
Freehold Office Plaza
Freehold, NJ 07728-8310
Phone
(732) 303-9660
Fax
(732) 303-1810
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X YA00174 NJ
Audiologist-Hearing Aid Fitter 237600000X MG00564 NJ Primary

Addresses

Primary practice location

4257 US Highway 9 BLDG 6
Freehold Office Plaza
Freehold, NJ 07728-8310

Mailing address

4257 US Highway 9 BLDG 6
Freehold Office Plaza
Freehold, NJ 07728-8310
Phone (732) 303-9660

Other identifiers 1

IdentifierTypeStateIssuer
7939809MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
YA00174NJMDAudiologist
MG00564NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Lantz, LLC Audiologist PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023195484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 US HIGHWAY 9 BLDG 6",
            "address_2": "FREEHOLD OFFICE PLAZA",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288310",
            "telephone_number": "732-303-9660",
            "fax_number": "732-303-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 US HIGHWAY 9 BLDG 6",
            "address_2": "FREEHOLD OFFICE PLAZA",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288310",
            "telephone_number": "732-303-9660",
            "fax_number": "732-303-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JILL",
        "middle_name": "S",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "YA00174",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "MG00564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7939809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.