Individual provider Active NPI

Jerrold S. Gertzman, M.D.

  • Family Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1194799106
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06778000 Issued in NJ
Practice address
4056 Quakerbridge Road
Suite 101
Lawrenceville, NJ 08648-4779
Phone
(609) 528-9150
Fax
(609) 528-9151
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06778000 NJ Primary

Addresses

Primary practice location

4056 Quakerbridge Road
Suite 101
Lawrenceville, NJ 08648-4779

Mailing address

4056 Quakerbridge Rd Ste 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Other practice location 1

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834
Phone (609) 587-6661

Other identifiers 1

IdentifierTypeStateIssuer
8269009MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerrold.gertzman.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101014001040 NJ Practitioner - Family Practice 5991998585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

4056 Quakerbridge Rd
Suite 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Family Medicine CurrentSince Sep 13, 2016 Accepting new patients
Hunterdon Medical Center Family Medicine Past Accepting new patients
Capital Health System Family Medicine PastSince Sep 13, 2016 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

4056 Quakerbridge Rd
Ste 101
Lawrenceville, NJ 08648
Phone (609) 275-0487

346 Route 33
Mercerville, NJ 08619
Phone (609) 584-4760

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1445 Whitehorse Mercerville Rd
Ste 103
Trenton, NJ 08619
Phone (609) 587-6661

Interoperability endpoints

  • Direct secure messaging: jerrold.gertzman.2@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1194799106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE ROAD",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Whitehorse Mercerville Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193834",
            "country_code": "US",
            "telephone_number": "609-587-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERTZMAN",
        "first_name": "JERROLD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06778000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8269009",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerrold.gertzman.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4056 Quakerbridge Road",
            "address_2": "Suite 101",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086484779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.