What is Jack Surgenor's NPI number?

Jack Surgenor's National Provider Identifier (NPI) is 1093677650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Surgenor's specialty?

Jack Surgenor is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Jack Surgenor located?

Jack Surgenor's practice location on file with NPPES is 20 Laurel Trl, Durham, CT 06422-3400.

What is Jack Surgenor's phone number?

The practice phone number listed in the NPPES registry for Jack Surgenor is (203) 464-9095.

Is Jack Surgenor's NPI active?

Yes — Jack Surgenor's NPI (1093677650) is active in the NPPES registry as of the last update on 2025-12-02.

IndividualActive

Jack Surgenor

NPI 1093677650 · Registered Dietitian · Durham, CT

Jack Surgenor is a Registered Dietitian provider in Durham, CT (NPI 1093677650).

Provider details

NPI number: 1093677650
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Sex: Male
Sole proprietor: No
License: 3048 (CT)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 3048 (CT)
Dietary & Nutritional Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

20 Laurel Trl

Durham, CT 06422-3400

Phone: (203) 464-9095

Street-level locationGet directions

More CT providers

Mailing address