Individual provider Active NPI

Vladimir Gertsik, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1194776500
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005508 Issued in NY
Practice address
415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone
(718) 934-4842
Fax
(718) 616-0165
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005508 NY Primary

Addresses

Primary practice location

415 Ocean View Ave
Brooklyn, NY 11235-6828

Mailing address

415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone (718) 934-4842

Other identifiers 1

IdentifierTypeStateIssuer
01948049MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000107 NY Practitioner - Podiatry 6901845452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone (718) 934-4848

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005508NYMDAcupuncturist
N005508NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Gertsik Podiatry P.C. Foot Surgery CurrentSince Jan 1, 2006 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Park Slope Physician Services PC Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

415 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 769-0997

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

50 Court St
Brooklyn Heights, NY 11201
Phone (718) 522-3131

9340 Queens Blvd
Ste 1G
Rego Park, NY 11374
Phone (718) 730-9210

Networks

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

Organizations & group practices 4

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1194776500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-934-4842",
            "fax_number": "718-616-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-934-4842",
            "fax_number": "718-616-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTSIK",
        "first_name": "VLADIMIR",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01948049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.