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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: August 30, 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.

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
Phone(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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gandimathi Jeyabalan's NPI number?

The NPI number for Gandimathi Jeyabalan is 1023903515. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Gandimathi Jeyabalan located?

Gandimathi Jeyabalan practices at 1311 Clinton Ln, Rockaway, NJ 07866. The listed phone number is (203) 970-9142.

What is Gandimathi Jeyabalan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Gandimathi Jeyabalan was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.