DR. JAY B GORDON (NPI# 1255439014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255439014 |
| Entity Type | Individual |
| Full Name | DR. JAY B GORDON |
| Credential | PHD |
| Practice Address |
1683 Route 88 Brick NJ 08724 |
| Practice Telephone | 7328405266 |
| Practice Fax Number | 7328407840 |
| Mailing Telephone | 7328405266 |
| Mailing Fax Number | 7328407840 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 375900 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063594042 | Jay T Gordon | Dentist | 3004 H G Mosley Pkwy, Longview, TX 75605-2948 | 2006-10-19 |
| 1346450863 | Jay S. Gordon | Chiropractor | 1133 Park Ave, Plainfield, NJ 07060-3006 | 2007-05-23 |
| 1952439341 | Jay N. Gordon | Pediatrics | 901 Montana Ave, Ste. C, Santa Monica, CA 90403-1544 | 2007-02-28 |
| 1699838490 | Jay M. Gordon | Registered Nurse | 6666 S Sheridan Rd, Tulsa, OK 74133-1756 | 2006-12-19 |
| Street Address |
1683 ROUTE 88 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033213251 | Neuropsychology & Counseling Associates, LLC | Counselor | 1683 Route 88, Suite A, Brick, NJ 08724-3050 | 2006-09-08 |
| 1831502350 | Brick Dental Associates, P.C. | Clinic/Center | 1683 Route 88, Brick, NJ 08724-3072 | 2014-06-03 |
| 1598075046 | Bailey Frumen | Social Worker | 1683 Route 88, Brick, NJ 08724-3072 | 2010-10-18 |
| 1114167699 | David Zigamund Taylor | Counselor | 1683 Route 88, Brick, NJ 08724-3072 | 2009-02-24 |
| 1932371440 | Rosa Curcia | Social Worker | 1683 Route 88, Brick, NJ 08724-3050 | 2008-03-25 |
| 1134304454 | Aubree Nicole Nachman | Speech-Language Pathologist | 1683 Route 88, Brick, NJ 08724-3072 | 2008-01-05 |
| 1568652808 | Carol Monaci Fahad | Counselor | 1683 Route 88, Brick, NJ 08724-3050 | 2007-08-01 |
| 1518001981 | Kristine Ann Moskal | Counselor | 1683 Route 88, Brick, NJ 08724-3050 | 2007-02-17 |
| 1548325566 | Theodore J Batlas | Clinical Neuropsychologist | 1683 Route 88, Brick, NJ 08724 | 2006-12-27 |
| 1245395763 | Carole M Beyer | Psychologist | 1683 Route 88, Brick, NJ 08724 | 2006-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396957635 | Darren Michael Caffery | Psychologist | 1683 Highway 88 West, Brick, NJ 08724-3050 | 2007-05-06 |
| 1881797389 | Georgia Noon | Psychologist | 44 Princeton Ave, Brick, NJ 08724 | 2006-09-07 |
| 1114412004 | Jason Thomas Ruch | Psychologist | 1500 Route 88, Brick, NJ 08724-2320 | 2018-06-25 |
| 1376907550 | Michael Heptig | Psychologist | 1608 Route 88, Brick, NJ 08724-3009 | 2016-04-13 |
| 1629317490 | William Reese Mayer | Psychologist | 1541 Route 88 W, Suite G, Brick, NJ 08724-2373 | 2013-02-13 |
| 1801948120 | Paul Ciampi | Psychologist | 74 Brick Blvd, Brick, NJ 08723-7984 | 2007-01-17 |
| 1871684803 | Edward M Franzoni Jr. | Psychologist | 1683 Route 88, Brick, NJ 08724 | 2006-09-27 |
| 1447262233 | Joseph James Schumacher | Psychologist | 970 Route 70, Brick, NJ 08724-3502 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598972 | Adam Kaplan | Psychologist | 40 E Midland Ave Ste 101, Paramus, NJ 07652-2927 | 2020-11-05 |
| 1619578002 | Mc Counseling Services, LLC | Psychologist | 5 Sharon Drive, East Hanover, NJ 07936 | 2020-11-03 |
| 1013524636 | Tiesha Finley | Psychologist | 1069 Avenue C Apt 3, Bayonne, NJ 07002-3336 | 2020-09-28 |
| 1477169985 | Jana Fern Luber | Psychologist | 551 Valley Rd # 128, Upper Montclair, NJ 07043-1832 | 2020-09-20 |
| 1376159889 | Kenneth George Hoyne | Psychologist | 666 Plainsboro Rd Ste 1214, Plainsboro, NJ 08536-3046 | 2020-09-20 |
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1649881541 | Alexia M Konko | Psychologist | 495 Iron Bridge Rd Ste 12, Freehold, NJ 07728-5306 | 2020-08-13 |
| 1750904090 | Sandra S. Lee | Psychologist | 236 Crescenzi Ct, West Orange, NJ 07052-4136 | 2020-05-21 |
| 1043831183 | Nocd New Jersey PC | Psychologist | 177 Willet St, Passaic, NJ 07055-1929 | 2020-04-29 |
| 1508486127 | Anne Castley Burdzy | Psychologist | 375 N Main St Ste B6, Williamstown, NJ 08094-1475 | 2020-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.