Individual provider Active NPI

Ariana Gordon

  • Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1285468454
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15128200 Issued in NJ
Practice address
831 Tennent Rd
Manalapan, NJ 07726-8288
Phone
(732) 851-4700
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15128200 NJ Primary

Addresses

Primary practice location

831 Tennent Rd
Manalapan, NJ 07726-8288

Mailing address

60 Summit Dr
Freehold, NJ 07728-9035
Phone (732) 995-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113003163 NJ Practitioner - Nurse Practitioner 4486188471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

831 Tennent Rd
Suite 1E
Manalapan, NJ 07726-8288
Phone (732) 851-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15128200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Jan 28, 2025 Accepting new patients
Centrastate Cardiology PC CurrentSince Oct 15, 2024 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 851-4700

831 Tennent Rd
Ste 1E
Manalapan, NJ 07726
Phone (732) 851-0200

831 Tennent Rd
Ste 1F
Manalapan, NJ 07726
Phone (732) 294-7012

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1285468454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUMMIT DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289035",
            "telephone_number": "732-995-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-851-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15128200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.