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

Dr. Dustin Joel Gordon, PHD

Individual provider Clinical Neuropsychologist · NPI 1124126404

Dr. Dustin Joel Gordon, PHD is a Clinical Psychologist in Ridgwood, New Jersey. Qualified in 1996, 30 years ago. Practices with Vdb Enterprises LLC, a 3-clinician group. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

61 N Maple Ave Ste 103
Ridgwood, NJ 07450
Phone: (201) 670-9773
Fax: (973) 427-1463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 3610 (NJ)

Record details

NPI number1124126404
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Vdb Enterprises Llc — 3 clinicians
Accepts Medicare assignment Not indicated