Organization Active NPI

Neil a Gordon MD PC

  • Plastic Surgery Physician
  • Wilton, CT
National Provider Identifier
1306259072
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1057681Neil a Gordon MD PC539 Danbury Rd, Wilton, CT 06897Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

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.

Verify at the official NPI Registry.