NPI 1134738396

Audrey Alicia Gordeuk, PHYSICIANASSISTANT

Practitioner Physician Assistant Bloomfield, NJ

Practice location

Address: 1455 Broad St STE 250, Bloomfield, NJ 07003-3066
Phone: (877) 532-7837

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00572700 (NJ)

Other Physician Assistant providers in New Jersey →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 025140 (NY)

Registry record

NPI: 1134738396
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2020
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.