Active NPI
David Gordon Dickson, M.D.
- Specialist
- Morristown, NJ
National Provider Identifier
1063482545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA48331
- Practice address
- 435 South St
Suite 100
Morristown, NJ 07960-6422 - Phone
- (973) 267-3944
- Fax
- (973) 889-1107
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA48331 | NJ | Primary |
Addresses
Primary practice location
435 South St
Suite 100
Morristown, NJ 07960-6422
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 656-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA48331 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morristown Cardiology Assoc PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Morristown, NJ
- NPI 1518966894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1063482545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "973-656-6280",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SOUTH ST",
"address_2": "SUITE 100",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606422",
"telephone_number": "973-267-3944",
"fax_number": "973-889-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "DAVID",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA48331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.