Kathleen Sauchelli Gordon DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KATHLEEN SAUCHELLI GORDON DMD

Practice address

1378 Broad St
Clifton, NJ 07013-4232

Phone

(973) 574-1498

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Sauchelli Gordon, DMD

Title

Owner

Phone

(973) 574-1498

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1932870268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134232",
            "telephone_number": "973-574-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134232",
            "telephone_number": "973-574-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN SAUCHELLI GORDON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "SAUCHELLI GORDON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-574-1498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Karkenny
• Devin R Karl, DC
• Caitlin Karosen, L.C.S.W.
• Fadi Karou, MD
• Mohamed Kassem, M.D.
• Kathrin S Serrao MD LLC
• Karen Ann Kattwinkel, APN-C
• Avery Seth Katz, MD
• Pessllaya Katz, BCBA
• Deepjot Kaur Dhanjal, MED, LAC

• General Practice Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.