Mordecai M Gerstein, M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

036-076565 Issued in IL

Practice address

2949 W Lunt Ave
Chicago, IL 60645-2919

Phone

(773) 274-2678

Fax

(773) 274-2697

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1114955697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452919",
            "telephone_number": "773-274-2678",
            "fax_number": "773-274-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452919",
            "telephone_number": "773-274-2678",
            "fax_number": "773-274-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEIN",
        "first_name": "MORDECAI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-076565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000526820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00632888",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerstein Eye Institute
• Gerstein Eye Institute
• Gerstein Ior LLC
• Craig H Gerstein, M.D.
• Melvyn A Gerstein, M.D.
• Michael Gersten, RP.H
• Tracy S Gertler, M.D., PH.D.
• Yakov Gertsberg
• Betsy Gertz, PHD
• Michelle Amy Gertz, M.A.E.D

• Critical Care Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.