NPPES file of Aug 9, 2026

Dustin Joel Gordon, PH.D.

Clinical Neuropsychologist · Ridgwood, NJ

Dustin Joel Gordon, PH.D. is a clinical neuropsychologist with a practice address in Ridgwood, New Jersey, and NPI 1124126404, issued on Sep 20, 2006. Check the license (New Jersey 3610, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124126404
Name
Dustin Joel Gordon
Credential
PH.D.
Primary taxonomy
Clinical Neuropsychologist 103G00000X
License number
3610 NJ
Self-reported in NPPES; status is on the state search
Practice location
61 N. Maple Ave., Ridgwood, NJ 07450
Phone
(201) 670-9773
Enumerated
Sep 20, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(973) 427-1463
Medicaid ID
7469028 NJ
Medicare enrollment
Enrolled (PECOS I20050523000607); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Verify Dustin Joel Gordon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
    Search for license 3610
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. Vdb Enterprises LLCFair Lawn, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Dustin Joel Gordon among 155 clinical neuropsychologist records in New Jersey

Dustin Joel Gordon, PH.D. is one of 155 clinical neuropsychologist records with a practice address in New Jersey. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 73% newer
  • In a Medicare fileYes · 38% of these records are
  • In the CMS Doctors and Clinicians fileYes · 51% of these records are
  • Graduated1996 · median 2008 among the 79 with a school on file
  • Record last updated2007 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Neuropsychologist providers in New Jersey

There are 155 clinical neuropsychologist records in New Jersey.

The 8 clinical neuropsychologist records with the nearest ZIP codes

  1. Jane Healey, PHDRidgewood, NJ 074501194319624
  2. Helen Tam, PHDRidgewood, NJ 074501194281956
  3. Edward Connolly, PH.D.Oakland, NJ 074361093872103
  4. Robert Pancza, PHDWayne, NJ 074701144344961
  5. Charles GiganteFair Lawn, NJ 074101386582351
  6. Richard Mucowski, EDD, PHDElmwood Park, NJ 074071518947795
  7. Elizabeth Kera, PHDNorth Haledon, NJ 075081336390996
  8. Courtney Ray, PHDJersey City, NJ 073021346899010

Common questions

What is Dustin Joel Gordon, PH.D.'s NPI number?

Dustin Joel Gordon, PH.D.'s National Provider Identifier (NPI) is 1124126404, issued on Sep 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Dustin Joel Gordon, PH.D. located?

The NPPES record lists a practice address at 61 N. Maple Ave., Ridgwood, NJ, 07450. Phone: (201) 670-9773. Providers update this record themselves, so call before visiting.

How can I verify Dustin Joel Gordon, PH.D.'s license?

NPPES lists New Jersey license number 3610, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.