# RODRICO GORDON ADULT - GERONTOLOGY NP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558295873
- **Authorized official:** RODRICO GORDON (OWNER)
- **Authorized official phone:** (929) 329-7900

## Contact information

- **Practice address:** 44 RIFLE CAMP RD, WOODLAND PARK, NJ 07424-3353
- **Practice address phone:** (929) 329-7900
- **Practice address fax:** (929) 419-0351
- **Mailing address:** 511 S ORANGE AVE, NEWARK, NJ 07103-1342
- **Mailing address phone:** (929) 329-7900
- **Mailing address fax:** (929) 419-0351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 06/11/2026