AUDREY ALICIA GORDEUK (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1134738396
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for AUDREY ALICIA GORDEUK (PHYSICIAN ASSISTANT)
1255 BROAD ST STE 201B
BLOOMFIELD, NJ 070033061
Phone: (201) 833-9500
Type: Mailing
1455 BROAD ST STE 250
BLOOMFIELD, NJ 070033066
Phone: (877) 532-7837
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210428000577 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 91 | 40 | $0 |
Insurance plans in this area (ZIP 07003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Family Practice | NJ | |
| - | MA | |
| A N E S T H E S I O L O G Y | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Family Practice | NJ | |
| - | NJ | |
| Diagnostic Radiology | NY | |
| Nurse Practitioner | NY | |
| Internal Medicine | NJ |
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