Alan S Gordon Edd.PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100100000 Issued in NJ

Legal business name

ALAN S GORDON EDD.PA

Practice address

196 Princeton Hightstown Rd
Building 1 2ND Floor
Princeton Junction, NJ 08550-1672

Phone

(609) 799-3866

Fax

(609) 799-7930

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alan S Gordon, EDD

Title

Psychologist

Phone

(609) 799-3866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1275862138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PRINCETON HIGHTSTOWN RD",
            "address_2": "BUILDING 1 2ND FLOOR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501672",
            "telephone_number": "609-799-3866",
            "fax_number": "609-799-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PRINCETON HIGHTSTOWN RD",
            "address_2": "BUILDING 1 2ND FLOOR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501672",
            "telephone_number": "609-799-3866",
            "fax_number": "609-799-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN S GORDON EDD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-799-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.