Active NPI
Neil a Gordon MD PC
- Plastic Surgery Physician
- Wilton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- NEIL A GORDON MD PC
- Practice address
- 539 Danbury Rd
Wilton, CT 06897-2216 - Phone
- (203) 834-7700
- Fax
- (203) 834-8877
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil A Gordon, MD
- Title
- Owner
- Phone
- (203) 834-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | CT | Primary |
Addresses
Primary practice location
539 Danbury Rd
Wilton, CT 06897-2216
Mailing address
539 Danbury Rd
Wilton, CT 06897-2216
Phone (203) 834-7700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1057681 | Neil a Gordon MD PC | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Facial Plastic Surgery Physician
- Wilton, CT
- NPI 1780734608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1306259072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068972216",
"telephone_number": "203-834-7700",
"fax_number": "203-834-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068972216",
"telephone_number": "203-834-7700",
"fax_number": "203-834-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIL A GORDON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-834-7700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.