Teryn Gorgone, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2261348 Issued in MA

Practice address

130 2ND Ave
Waltham, MA 02451-1100

Phone

(888) 300-2483

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1992157176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 2ND AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511100",
            "telephone_number": "888-300-2483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215663",
            "country_code": "US",
            "telephone_number": "646-962-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORGONE",
        "first_name": "TERYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "2261348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Maximilian Gonzalez, MS, ATC, LAT
• Elise Sue Goodman, M.A. CCC
• Miriam Claire Goodman, MD
• Emma Goodreau
• Dahlia Gordon
• Roscoe Gorham, LICSW, CADAC
• Gwenyth Gorlin, MS, CCC-SLP
• Cynthia Gosselin, NP
• Brittany Rose Gotts, PT, DPT
• Jennifer Gould

• Family Medicine Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.