Active NPI
Neil a Gordon MD PC
- Plastic Surgery Physician
- Wilton, CT
National Provider Identifier
1306259072
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
- 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
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 DirectoryNPI 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.