Organization Active NPI

Kenneth Paul Gilbert

  • Plastic Surgery Physician
  • Quincy, MA
National Provider Identifier
1649423526
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
51106 Issued in MA
Legal business name
KENNETH PAUL GILBERT
Practice address
1261 Furnace Brook Pkwy
Suite 16
Quincy, MA 02169-4721
Phone
(617) 479-1492
Fax
(617) 773-6724
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Kenneth Paul Gilbert, M.D.NPI 1801867189
Title
Owner
Phone
(617) 479-1492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 51106 MA Primary

Addresses

Primary practice location

1261 Furnace Brook Pkwy
Suite 16
Quincy, MA 02169-4721

Mailing address

PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071

National Provider Directory

National Provider Directory

Locations

1261 Furnace Brook Pkwy
Ste 16
Quincy, MA 02169
Phone (617) 479-1492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1649423526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020430086",
            "telephone_number": "781-749-9071",
            "fax_number": "781-749-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "SUITE 16",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-479-1492",
            "fax_number": "617-773-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH PAUL GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-479-1492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "51106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.