Active NPI
Steven L Gersen, PHD
- Ph.D. Medical Genetics
- Shelton, CT
National Provider Identifier
1942539325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- D131902
- Practice address
- 1 Greenwich PL
Shelton, CT 06484-7603 - Phone
- (866) 393-7434
- Fax
- (203) 447-8672
- NPI assigned
- Dec 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | D131902 | FL | Primary |
Addresses
Primary practice location
1 Greenwich PL
Shelton, CT 06484-7603
Mailing address
7111 Fairway Dr
400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D131902 | FL | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1942539325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "561-712-7300",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GREENWICH PL",
"city": "SHELTON",
"state": "CT",
"postal_code": "064847603",
"telephone_number": "866-393-7434",
"fax_number": "203-447-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSEN",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "FL",
"license": "D131902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.