Marvin C Gershengorn, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

115854 Issued in NY

Practice address

50 S Drive MSC 8029
BLDG 50, Room 4134
Bethesda, MD 20892-0001

Phone

(301) 451-6305

Fax

(301) 480-4212

NPI assigned

Nov 8, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1114228137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S DRIVE MSC 8029",
            "address_2": "BLDG 50, ROOM 4134",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-6305",
            "fax_number": "301-480-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S DRIVE MSC 8029",
            "address_2": "BLDG 50, ROOM 4134",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-6305",
            "fax_number": "301-480-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHENGORN",
        "first_name": "MARVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "115854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joseph Gergen, M.D.,M.P.H.
• Kayla Gerhold
• Kimberly Anne Gerling
• Easton B Germain, PT
• John Gershefski, PH.D.
• Jennifer C Gershman
• Brian Gerstenslager, MD
• David Gertler
• Cassandra Gessling, MD
• Dinna Getachew, DO

• All providers in Bethesda, MD
• Endocrinology, Diabetes & Metabolism Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.