Audrey Alicia Gordeuk, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00572700 Issued in NJ

Practice address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066

Phone

(877) 532-7837

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Audrey Alicia Merenda Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
• Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
• Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• All Be Healthy LLC

  • Orthopaedic Surgery Physician
  • Bloomfield, NJ
  • NPI 1275286148
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hudson Hospital Opco LLC

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  Care Compare affiliation
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  Care Compare affiliation
• Ijkg Opco LLC

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1134738396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEUK",
        "first_name": "AUDREY",
        "middle_name": "ALICIA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00572700",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MERENDA",
            "middle_name": "ALICIA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea B Goldberg, LCSW
• Angelica Gomez, LSW
• Good Health Acupuncture
• Good Shepard Staffing LLC
• Milwida Cordova Goquingco
• La-Tricia Alicia Gordon, RN
• Dov Gorshein, MD
• Shrabanti Goswami, O.D.
• Joshua M Gould, M.D.
• Tamara Gourdet-Davenport

• Physician Assistant in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.