Jeffrey Gorelick, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

029657 Issued in CT

Practice address

51-53 Kenosia Ave
Danbury, CT 06810

Phone

(203) 748-0330

Fax

(203) 731-3273

NPI assigned

Jun 15, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urology Associates of Danbury PC

  dba Urology Associates of Connecticut

  • Urology Physician
  • Danbury, CT
  • NPI 1932107034
  Medicare reassignment NPD
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  NPD
• Danbury Hospital

  dba Danbury Hospital DBA New Milford Hospital

  • General Acute Care Hospital
  • New Milford, CT
  • NPI 1619938016
  NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538164736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-0300",
            "fax_number": "203-731-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-0330",
            "fax_number": "203-731-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELICK",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "029657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1296575",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Goodman, LCSW
• Jason Michael Goodman, M.D.
• Danielle Joy Gordon, MD, MPH
• John Joseph Gordon, Jr., CASAC, ICADC
• Adam Gorelick, M.D.
• Steven Gorelick, M.D.
• Jonathan Harvey Gorman, D.D.S.
• Richard None Gosnay, DPM
• Trevor J Gotthardt, OD
• Andreas C Gounaris, O.D.

• Urology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.