Organization Active NPI

Sandra L. Margoles, MD., LLC

  • Plastic Surgery Physician
  • Greenwich, CT
National Provider Identifier
1245493139
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
037667 Issued in CT
Legal business name
SANDRA L. MARGOLES, MD., LLC
Practice address
2 1/2 Dearfield Dr
Suite 102
Greenwich, CT 06831-5335
Phone
(203) 869-2939
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Sandra L Margoles, MD
Title
Owner
Phone
(203) 869-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 037667 CT Primary

Addresses

Primary practice location

2 1/2 Dearfield Dr
Suite 102
Greenwich, CT 06831-5335

Mailing address

2 1/2 Dearfield Dr
Suite 102
Greenwich, CT 06831-5335
Phone (203) 869-2939

Other identifiers 1

IdentifierTypeStateIssuer
001376674MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1245493139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DR",
            "address_2": "SUITE 102",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315335",
            "telephone_number": "203-869-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DR",
            "address_2": "SUITE 102",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315335",
            "telephone_number": "203-869-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. MARGOLES, MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MARGOLES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "037667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376674",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.