CLARENCE GOCON APN NPI 1992308951

NPI Information

NPI: 1992308951
Provider Name: CLARENCE GOCON, APN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ALDAD MEDICAL NJ PC

PECOS Registration: Yes

Address:
136 W SIDE AVE
JERSEY CITY, NJ
ZIP 07305
Phone: (201) 981-2633
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Clarence Gocon, APN is a psychiatric/mental health nurse practitioner in Jersey City, NJ with 4 years of experience. Clarence Gocon, APN NPI is 1992308951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

136 W SIDE AVE
JERSEY CITY, NJ
ZIP 07305-317
Phone: (201) 981-2633

The NPI 1992308951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01079600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26NJ01079600	OTHER	NEW JERSEY	NJ APN LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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