Active NPI
William Jay Gessner, MD
- Family Medicine Physician
- Gorham, NH
National Provider Identifier
1891709093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5987
- Practice address
- 2 Broadway Ave
Gorham, NH 03581-1502 - Phone
- (603) 466-2741
- Fax
- (603) 466-2953
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 156643 | NY | |
| Family Medicine Physician | 207Q00000X | 5987 | NH | Primary |
Addresses
Primary practice location
2 Broadway Ave
Gorham, NH 03581-1502
Mailing address
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077633 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000038 | NH | Practitioner - Family Practice | 3779624762 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5987 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Family Health Services, Inc | Family Medicine | Current | Accepting new patients |
| Coos County Family Health Services, Inc | Current | Accepting new patients | |
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Past | Accepting new patients | |
| Mid-Hudson Family Health Institute | Family Medicine | Past | Accepting new patients |
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040
2 Broadway Ave
Gorham, NH 03581
Phone (603) 466-2741
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Berlin, NH
- NPI 1346242054
Family Medicine, NH
-
- Federally Qualified Health Center (FQHC)
- Colebrook, NH
- NPI 1659163434
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1326093642
Family Medicine
-
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1891709093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 PLEASANT ST",
"city": "BERLIN",
"state": "NH",
"postal_code": "035702006",
"telephone_number": "603-752-2040",
"fax_number": "603-752-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BROADWAY AVE",
"city": "GORHAM",
"state": "NH",
"postal_code": "035811502",
"telephone_number": "603-466-2741",
"fax_number": "603-466-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESSNER",
"first_name": "WILLIAM",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "156643",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "5987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077633",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gorham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.