NPPES file of Aug 9, 2026

Jack Surgenor

Registered Dietitian · Durham, CT

Jack Surgenor is a registered dietitian with a practice address in Durham, Connecticut, and NPI 1093677650, issued on Dec 2, 2025. Check the license (Connecticut 3048, as entered in NPPES) with the Connecticut board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093677650
Name
Jack Surgenor
Primary taxonomy
Registered Dietitian 133V00000X
License number
3048 CT
Self-reported in NPPES; status is on the state search
Practice location
20 Laurel Trl, Durham, CT 06422
Phone
(203) 464-9095
Enumerated
Dec 2, 2025
Record last updated
Dec 2, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Jack Surgenor in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
    Search for license 3048
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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3 registered dietitian records list a practice address in Durham

They are 3 of the 59 NPPES records with a practice address in Durham, and 824 registered dietitian records in Connecticut. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other registered dietitian records in Connecticut

  1. Kirsten AckermanNew Haven, CT1396298485
  2. Emily AcriNew Haven, CT1962245639
  3. Natalie Adamson, RD,CD-NTorrington, CT1942585054
  4. Merril Adelman, R.D.Norwalk, CT1801125471
  5. Maja Aganovic, RD, LDNNew Haven, CT1356142418
  6. Susan Agnes, RDEast Granby, CT1518225051
  7. Whitney Ahneman, M.S. R.D.Stamford, CT1861785545
  8. Eekra Ahsan, RDGlastonbury, CT1780451229
  9. Nora Ainsworth, MS, RDN, CDNSouthington, CT1851891634
  10. Rachel Aiudi, DCN, RDNNew Haven, CT1164303889

Common questions

What is Jack Surgenor's NPI number?

Jack Surgenor's National Provider Identifier (NPI) is 1093677650, issued on Dec 2, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jack Surgenor located?

The NPPES record lists a practice address at 20 Laurel Trl, Durham, CT, 06422. Phone: (203) 464-9095. Providers update this record themselves, so call before visiting.

How can I verify Jack Surgenor's license?

NPPES lists Connecticut license number 3048, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.