Individual provider Active NPI

Marianna Gertsberg, M.D.

  • Rheumatology Physician
  • Jamaica, NY
National Provider Identifier
1194771493
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
232897 Issued in NY
Practice address
180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone
(718) 526-6300
Fax
(718) 262-7064
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 232897 NY Primary

Addresses

Primary practice location

180-05 Hillside Ave
Jamaica, NY 11432-4727

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

524 Old Country Rd
Plainview, NY 11803-6502
Phone (516) 622-1308

Other practice location 2

260 W. Sunrise Hwy, Ste. 200
Valley Stream, NY 11581
Phone (516) 825-3600

Other identifiers 1

IdentifierTypeStateIssuer
02780367MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20060821000110 NY Practitioner - Rheumatology 0143223776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

14015 Sanford Ave
Flushing, NY 11355-2686
Phone (718) 670-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Nov 11, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 11, 2019 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

18005 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-6300

55 Water St
Fl 2
New York, NY 10041

260 W Sunrise Hwy
Ste 200
Valley Stream, NY 11581
Phone (516) 825-3600

260 W Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 791-4600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1194771493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180-05 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324727",
            "telephone_number": "718-526-6300",
            "fax_number": "718-262-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 OLD COUNTRY RD",
            "address_purpose": "LOCATION",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036502",
            "country_code": "US",
            "telephone_number": "516-622-1308",
            "fax_number": "516-622-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 W. Sunrise Hwy, Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "11581",
            "country_code": "US",
            "telephone_number": "516-825-3600",
            "fax_number": "516-872-5137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERTSBERG",
        "first_name": "MARIANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "232897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02780367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.