Organization Active NPI

Jeffrey J Gibson MD

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1811177017
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME89229 Issued in FL
Legal business name
JEFFREY J GIBSON MD
Practice address
3661 S Miami Ave
Suite 403
Miami, FL 33133-4236
Phone
(305) 858-1986
Fax
(305) 856-3603
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Jeffrey J Gibson, MDNPI 1689650079
Title
Physician
Phone
(305) 858-1986

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)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME89229 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 403
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave Ste 403
Miami, FL 33133-4230
Phone (305) 858-1986

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 403
Miami, FL 33133
Phone (305) 858-1986

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1811177017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334230",
            "telephone_number": "305-858-1986",
            "fax_number": "305-856-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-858-1986",
            "fax_number": "305-856-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J GIBSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-858-1986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME89229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.