Meredith Rae Gershon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

042196 Issued in CT

Practice address

888 White Plains Rd Ste 202
Trumbull, CT 06611-4552

Phone

(203) 365-6565

Fax

(203) 365-6567

NPI assigned

Jan 31, 2006

Sex

Female

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

Specialty

Ophthalmology

Education

State University of New York at Stony Brook, School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Retina Consultants LLCGroup PAC ID 2769573765, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgershon483329@direct.ynhh.org
• Direct secure messaging: mgershon@direct.wtbyhosp.org

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

• Connecticut Retina Consultants LLC

  • Ophthalmology Physician
  • New Haven, CT
  • NPI 1134246853
  Medicare reassignment Care Compare group NPD
• Mendelsohn Medical LLC

  • Neurology Physician
  • Sherman, CT
  • NPI 1366850521
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1699746339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 203",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-787-6161",
            "fax_number": "203-776-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD STE 202",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-365-6565",
            "fax_number": "203-365-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHON",
        "first_name": "MEREDITH",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "042196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001421966",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Geisler, M.A., NCC, LPC
• Cynthia I. Gentes, M.D.
• Dawn Marie Geoghegan-Hull, MS OTR/L
• Geny Ann George, M.D.
• Geraldine Marrocco LLC
• Maria C Ghent, P.T.
• Azaria Gibbs
• Mary M Gilbertson, MSN,APRN, FNP-BC,
• Carolyn Anne Gingras, PHARMD
• Amy Lynn Ginter, MA, CCC-SLP

• Ophthalmology Physician in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
• 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.

Verify at the official NPI Registry.