Active NPI
Jill S Gordon, AUD
- Audiologist-Hearing Aid Fitter
- Freehold, NJ
National Provider Identifier
1023195484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- MG00564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7939809 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| YA00174 | NJ | MD | Audiologist |
| MG00564 | NJ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie Lantz, LLC | Audiologist | Past | 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.
-
- Audiologist
- Freehold, NJ
- NPI 1033278239
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.