GANDIMATHI JEYABALAN
NPI 1023903515
Nurse Practitioner - Gerontology in Rockaway, NJ

Active since June 12, 2025
1311 CLINTON LN, ROCKAWAY, NJ 07866(203) 970-9142 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gandimathi Jeyabalan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GANDIMATHI JEYABALAN (NPI 1023903515) is an individual gerontology provider in Rockaway, New Jersey, licensed in New Jersey (26NJ15267300) and active in the NPI registry since June 2025.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1023903515
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameGANDIMATHI JEYABALAN
Location Address1311 CLINTON LNRockaway, NJ 07866-5823
Mailing Address1311 Clinton LnRockaway, NJ 07866-5823 · (203) 970-9142
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1023903515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NJ · 26NJ15267300
1311 CLINTON LN, Rockaway, NJ 07866

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023903515, enumerated as an "individual" on June 12, 2025.

The provider is located at 1311 CLINTON LN ROCKAWAY, NJ 07866 and the phone number is (203) 970-9142.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.