NPI
Jeremy Gongola
NPI 1568005049
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DC
- Type
- Individual
- Enumeration date
- 2019-10-28
- Last updated
- 2019-10-28
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Specialties
Licenses
- License NJ
- 38MC00765000
Location
- Practice location
- 31 Ver Valen St
- City
- Closter NJ
- Postal code
- 07624-2699
- Phone
- (201) 784-2700
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Closter, NJ. 220 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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