Jonathan Benneke Gorman

Athletic Trainer · Union, NJ

Individual Active NPI

NPI number 1790208569

Practice location

2360 Morris Ave
Union, NJ 07083-5707
Phone
(678) 576-5141

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NPI record

NPI
1790208569
Entity type
Individual (Type 1)
Enumeration date
July 24, 2017
Last updated
February 12, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000030563 NJ
Student in an Organized Health Care Education/Training Program 390200000X — NJ

Mailing address

130 Ogden Ave # 2
Jersey City, NJ 07307-1310
Phone
(678) 576-5141

About Jonathan Gorman

Jonathan Benneke Gorman is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2360 Morris Ave, Union, NJ 07083-5707. The NPI number 1790208569 was assigned on July 24, 2017 and the record was last updated on February 12, 2018.

Jonathan Gorman lists a license in the registry: #2000030563 (NJ) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Benneke Gorman?

The NPI number is 1790208569.

What is the phone number of Jonathan Gorman?

The phone number listed for the practice location is (678) 576-5141.

Where is Jonathan Gorman located?

2360 Morris Ave, Union, NJ 07083-5707.

What is the taxonomy code for Jonathan Gorman?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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