Carl K Gjertson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA12258300 Issued in NJ

Practice address

263 Farmington Ave
Urology
Farmington, CT 06030-6227

Phone

(860) 679-4100

Fax

(860) 679-1390

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Columbia University College of Physicians and Surgeons, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Cape Physicians Associates PAGroup PAC ID 0749333730, 14 clinicians

Jersey Urology Group P. a.Group PAC ID 2264434703, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
• Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1190
• Direct secure messaging: carl.gjertson.1@4024.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cape Physicians Associates PA

  • Internal Medicine Physician
  • Cape May Court House, NJ
  • NPI 1003805227
  Medicare reassignment Care Compare group NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  Urology

  Medicare reassignment Care Compare group NPD
• Jersey Urology Group P. a.

  • Urology Physician
  • Somers Point, NJ
  • NPI 1225193162
  Medicare reassignment Care Compare group NPD
• Shore Specialty Consultants

  • Multi-Specialty Clinic/Center
  • Somers Point, NJ
  • NPI 1962808519
  Medicare reassignment Care Compare group NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• Greater Hartford Lithotripsy, LLC

  • Urology Physician
  • Hartford, CT
  • NPI 1598989006
  NPD (past)
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)
• University Urologists, Inc., PC

  • Urology Physician
  • Indianapolis, IN
  • NPI 1104877141
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooper University Hospital Cape Regional Inc

  • General Acute Care Hospital
  • Cape May Court House, NJ
  • NPI 1053382697
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1063472017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UROLOGY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306227",
            "telephone_number": "860-679-4100",
            "fax_number": "860-679-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Beacon Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502471",
            "country_code": "US",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Route 72 W Ste 260",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502483",
            "country_code": "US",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1173 Beacon Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502531",
            "country_code": "US",
            "telephone_number": "609-597-1991",
            "fax_number": "609-978-4860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Mathistown Rd",
            "address_purpose": "LOCATION",
            "city": "Little Egg Harbor Twp",
            "state": "NJ",
            "postal_code": "080874021",
            "country_code": "US",
            "telephone_number": "609-597-1991",
            "fax_number": "609-978-4860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJERTSON",
        "first_name": "CARL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "045171",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "045171",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA12258300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063472017",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgjertson9555@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael P Gingold, M.D.
• Michael Joseph Giordano, MD
• Eric Denis Girard, M.D.
• Apoorva Girish, M.D
• Kristan D Giroux, LCSW
• Susan Glassman, RPH
• Mark Gleeson, MD
• Luriza Glynn, APRN
• Megan Go, MD
• Thomas Vincent Gocke III, PA-C

• Urology Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.