Jason George Gordon

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

JASON GEORGE GORDON

Practice address

179 Davis Ave
Piscataway, NJ 08854-2467

Phone

(908) 451-2550

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Jason Gordon

Title

Ceo

Phone

(908) 451-2550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1801305172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 DAVIS AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DAVIS AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542467",
            "telephone_number": "908-451-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON GEORGE GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-451-2550"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey James
• Patricia Janes, RN, IBCLC
• Hyerim Jang, MD
• Lisa Marie Jansen, LPC
• Maritsa Loaiza Jaramillo
• Jay Shree Krishna Piscataway LLC
• Ewaryst Jedrasik, RN
• Robin Jefferson
• Veronica M Jensen, NP
• Stephanie Jimenez, PSY.M., M.A.

• Adolescent and Children Mental Health Clinic/Center in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.