Active NPI
Eugene Gersh, OTR/L
- Military Hospital
- New York, NY
National Provider Identifier
1053753657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 126891
- Practice address
- 208 E Broadway
104J
New York, NY 10002-5526 - Phone
- (646) 831-7522
- NPI assigned
- Jul 24, 2013
- 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 |
|---|---|---|---|---|
| Military Hospital | 286500000X | 126891 | CA | Primary |
Addresses
Primary practice location
208 E Broadway
104J
New York, NY 10002-5526
Mailing address
208 E Broadway
104J
New York, NY 10002-5526
Phone (646) 831-7522
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126891 | CA | MD | Military Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1053753657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E BROADWAY",
"address_2": "104J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100025526",
"telephone_number": "646-831-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E BROADWAY",
"address_2": "104J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100025526",
"telephone_number": "646-831-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSH",
"first_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "CA",
"license": "126891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.