Provider Demographics
NPI:1134227937
Name:GADON, DAWN (APN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:GADON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E NEW YORK AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2367
Mailing Address - Country:US
Mailing Address - Phone:609-365-0028
Mailing Address - Fax:862-772-1872
Practice Address - Street 1:10 E NEW YORK AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2367
Practice Address - Country:US
Practice Address - Phone:609-365-0028
Practice Address - Fax:862-772-1872
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00062700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q20105Medicare UPIN
081294Medicare ID - Type Unspecified
NJ081294SBVMedicare PIN