GANDIMATHI JEYABALAN NPI 1023903515

NPI Information

  • NPI: 1023903515
  • Provider Name: GANDIMATHI JEYABALAN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1311 CLINTON LN
    ROCKAWAY, NJ
    ZIP 07866
  • Phone: (203) 970-9142

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NPI Details

Gandimathi Jeyabalan is a gerontology nurse practitioner in Rockaway, NJ. Gandimathi Jeyabalan NPI is 1023903515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1311 CLINTON LN
ROCKAWAY, NJ
ZIP 07866-823
Phone: (203) 970-9142

The enumeration date for this NPI number is 6/12/2025 and was last updated on 6/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology26NJ15267300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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