Individual provider Active NPI

Gordon M Kaplan, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Edgewater, NJ
National Provider Identifier
1871799080
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA07926000 Issued in NJ
Practice address
1033 River Rd
Unit 1
Edgewater, NJ 07020-1351
Phone
(201) 710-7771
Fax
(201) 300-0119
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA07926000 NJ Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 2403491 NY

Addresses

Primary practice location

1033 River Rd
Unit 1
Edgewater, NJ 07020-1351

Mailing address

1033 River Rd Ste 1
Edgewater, NJ 07020-1351
Phone (201) 710-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20080107000426 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0345320149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Albany Medical College of Union University, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Reconstructive Surgery PC
1033 River Road Unit 1
Edgewater, NJ 07020-1351
Phone (201) 786-1977

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2403491NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Kaplan Center for Plastic & Reconstructive Surgery PC Plastic and Reconstructive Surgery CurrentSince Sep 17, 2012 Accepting new patients

Locations

1033 River Rd
Edgewater, NJ 07020
Phone (201) 224-0900

1033 River Rd
Ste 1
Edgewater, NJ 07020
Phone (201) 786-1977

Interoperability endpoints

  • Direct secure messaging: gkaplan67994@northwell.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1871799080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 RIVER RD STE 1",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201351",
            "telephone_number": "201-710-7771",
            "fax_number": "201-300-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 RIVER RD",
            "address_2": "UNIT 1",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201351",
            "telephone_number": "201-710-7771",
            "fax_number": "201-300-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "GORDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA07926000",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "2403491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.