Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Alicia Gordeuk, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1134738396

Audrey Alicia Gordeuk, PHYSICIANASSISTANT is a Physician Assistant in Bloomfield, New Jersey. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone: (877) 532-7837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00572700 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 025140 (NY)

Record details

NPI number1134738396
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomfield