Individual provider Active NPI

Sandra L Margoles, M,D,

  • Plastic Surgery Physician
  • Greenwich, CT
National Provider Identifier
1649366931
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
037667 Issued in CT
Practice address
40 W Elm St Ste 1L
Greenwich, CT 06830-6418
Phone
(203) 869-2939
Fax
(203) 717-5378
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 202853-1 NY
Plastic Surgery Physician 208200000X 037667 CT Primary

Addresses

Primary practice location

40 W Elm St Ste 1L
Greenwich, CT 06830-6418

Mailing address

40 W Elm St Ste 1L
Greenwich, CT 06830-6418
Phone (203) 869-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037667CTMDPlastic Surgery Physician
202853-1NYMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1649366931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W ELM ST STE 1L",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306418",
            "telephone_number": "203-869-2939",
            "fax_number": "203-717-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W ELM ST STE 1L",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306418",
            "telephone_number": "203-869-2939",
            "fax_number": "203-717-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLES",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "M,D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "202853-1",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "037667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.