Healthcare Provider Details

I. General information

NPI: 1083170005
Provider Name (Legal Business Name): AYELET ESTHER GAON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AYELET GAON PA

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 09/11/2025
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 ROUTE 3
CLIFTON NJ
07012-2343
US

IV. Provider business mailing address

328 TERHUNE AVE
PASSAIC NJ
07055-3350
US

V. Phone/Fax

Practice location:
  • Phone: 973-450-1991
  • Fax: 973-528-8009
Mailing address:
  • Phone: 973-722-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: