Moshe Yonatan Gertzulin, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

P127809 Issued in NY

Practice address

1275 York Ave
New York, NY 10065-6007

Phone

(646) 773-4144

NPI assigned

Aug 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mgertzulin33446@mskcc.direct-ci.com

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1316778137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 63RD ST APT 7L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657912",
            "telephone_number": "646-773-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "646-773-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTZULIN",
        "first_name": "MOSHE",
        "middle_name": "YONATAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "P127809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Victor Gertler, PHD
• Enid Clare Gertmenian, L.C.S.W.
• Larisa O. Gerts, CCC-SLP
• Emily Ann Gertsch, M.D., M.P.H.
• Maria Emilia Gertz, PSY.D.
• Carla Gervasio, L.AC
• Elizabeth Helen Gery, M.D.
• Erika Antoinette Gerz, M.D.
• Igor Gerzon, DDS
• Queenie Rose Gerzon

• Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.