Active NPI
Jonathan Paull Gertler, JONATHAN GERTLER MD
- Vascular Surgery Physician
- Weston, MA
National Provider Identifier
1053551838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 57615
- Practice address
- 15 Westcliff Rd
Weston, MA 02493-1409 - Phone
- (781) 237-2544
- Fax
- (781) 237-3225
- NPI assigned
- Mar 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 57615 | MA | Primary |
Addresses
Primary practice location
15 Westcliff Rd
Weston, MA 02493-1409
Mailing address
15 Westcliff Rd
Weston, MA 02493-1409
Phone (781) 237-2544
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57615 | MA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1053551838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WESTCLIFF RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931409",
"telephone_number": "781-237-2544",
"fax_number": "781-237-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WESTCLIFF RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931409",
"telephone_number": "781-237-2544",
"fax_number": "781-237-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTLER",
"first_name": "JONATHAN",
"middle_name": "PAULL",
"name_prefix": "Dr.",
"credential": "JONATHAN GERTLER MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "57615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.