Individual provider Active NPI

Gordon Erwin Callender, M.D.

  • Colon & Rectal Surgery Physician
  • Vineland, NJ
National Provider Identifier
1215059399
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA08254600 Issued in NJ
Practice address
1206 W Sherman Ave
Vineland, NJ 08360-6911
Phone
(856) 696-9933
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 241774 NY
Colon & Rectal Surgery Physician 208C00000X 25MA08254600 NJ Primary

Addresses

Primary practice location

1206 W Sherman Ave
Vineland, NJ 08360-6911

Mailing address

1206 W Sherman Ave BLDG 2a
Vineland, NJ 08360-6911
Phone (856) 696-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071020000083 NJ Practitioner - General Surgery 1951497031 Reassigns benefits to 1 organization
I20170310000010 NY Practitioner - General Surgery 1951497031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

1206 W Sherman Ave
BLDG 2a
Vineland, NJ 08360-6911
Phone (856) 696-9933

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Nov 1, 2018 Accepting new patients
New York Surgicalist Services, P.C. CurrentSince Mar 23, 2021 Accepting new patients
St. Luke'S Cornwall Hospital Past Accepting new patients

Locations

10 Magnolia Ave
Ste E
Bridgeton, NJ 08302
Phone (609) 455-2399

10 Magnolia Ave
Bridgeton, NJ 08302
Phone (609) 455-2222

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 641-8635

1206 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 462-6250

1206 W Sherman Ave
Bldg 2A
Vineland, NJ 08360
Phone (856) 696-9933

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700

407 Gidney Ave
Ste B
Newburgh, NY 12550
Phone (845) 458-4700

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1215059399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE BLDG 2A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606911",
            "telephone_number": "856-696-9933",
            "fax_number": "856-696-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606911",
            "telephone_number": "856-696-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "GORDON",
        "middle_name": "ERWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "241774",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA08254600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.