Active NPI
Douglas B. Gersh, MD., LLC
- Neurology Physician
- Newark, DE
National Provider Identifier
1801206743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C1-0002233
- Legal business name
- DOUGLAS B. GERSH, MD., LLC
- Practice address
- 774 Christiana Rd
Suite 201
Newark, DE 19713-4236 - Phone
- (302) 731-7037
- NPI assigned
- Apr 30, 2014
- Last updated
- Apr 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas B Gersh, MD
- Title
- Owner/President
- Phone
- (302) 633-5840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | C1-0002233 | DE | Primary |
Addresses
Primary practice location
774 Christiana Rd
Suite 201
Newark, DE 19713-4236
Mailing address
774 Christiana Rd
Suite 201
Newark, DE 19713-4236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1-0002233 | Other | DE | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Newark, DE
- NPI 1902858293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1801206743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD",
"address_2": "SUITE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 CHRISTIANA RD",
"address_2": "SUITE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134236",
"telephone_number": "302-731-7037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS B. GERSH, MD., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "GERSH",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "302-633-5840",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DE",
"license": "C1-0002233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C1-0002233",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.