Active NPI
Jeffrey R Gerson, MD
- Gastroenterology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 198742
- Practice address
- 1375 Washington Ave
Suite 101
Albany, NY 12206-1040 - Phone
- (518) 438-4483
- Fax
- (518) 482-4201
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 198742 | NY | Primary |
Addresses
Primary practice location
1375 Washington Ave
Suite 101
Albany, NY 12206-1040
Mailing address
1375 Washington Ave
Suite 101
Albany, NY 12206-1040
Phone (518) 438-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01562858 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 533-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 151 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Gastroenterology | Current | Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Gastroenterology | Current | Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Past | Accepting new patients |
Locations
1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483
1375 Washington Ave
#10113282
Albany, NY 12206
Phone (518) 533-1269
1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jeffrey.gerson.1@24721.direct.athenahealth.com
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.
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
Gastroenterology
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- Orthopaedic Surgery Physician
- Bennington, VT
- NPI 1487930632
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1235210626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 WASHINGTON AVE",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061040",
"telephone_number": "518-438-4483",
"fax_number": "518-482-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 WASHINGTON AVE",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061040",
"telephone_number": "518-438-4483",
"fax_number": "518-482-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSON",
"first_name": "JEFFREY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "198742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01562858",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.