Individual provider Active NPI

Neil Bruce Gottlieb, M.D.

  • Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1649250382
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD072671L Issued in PA
Practice address
2137 Welsh Rd
Suite 2D
Philadelphia, PA 19115-4963
Phone
(215) 698-7333
Fax
(215) 673-9492
NPI assigned
Jan 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD072671L PA Primary

Addresses

Primary practice location

2137 Welsh Rd
Suite 2D
Philadelphia, PA 19115-4963

Mailing address

8100 Roosevelt Blvd
Suite 101
Philadelphia, PA 19152-2900
Phone (215) 335-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20060831000079 PA Practitioner - Plastic and Reconstructive Surgery 1951305184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD072671LPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael Gabay DO PC Plastic Surgery CurrentSince Jul 1, 2006 Accepting new patients
Aria Health Physician Services Past Accepting new patients
Urological Associates, PC Past Accepting new patients

Locations

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

Interoperability endpoints

  • Direct secure messaging: neil.gottlieb@direct.einstein.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649250382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROOSEVELT BLVD",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522900",
            "telephone_number": "215-335-5355",
            "fax_number": "215-335-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 WELSH RD",
            "address_2": "SUITE 2D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154963",
            "telephone_number": "215-698-7333",
            "fax_number": "215-673-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "NEIL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD072671L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.