Organization Active NPI

Yuly Gertsberg Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Brooklyn, NY
National Provider Identifier
1356664031
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
YULY GERTSBERG ORAL SURGERY PC
Practice address
1720 E 13TH St Ste 1
Brooklyn, NY 11229-1920
Phone
(718) 998-2929
Fax
(718) 998-1056
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Yuly Gertsberg, DDSNPI 1255485165
Title
Oral Surgeon
Phone
(718) 998-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1720 E 13TH St Ste 1
Brooklyn, NY 11229-1920

Mailing address

1720 E 13TH St Ste 1
Brooklyn, NY 11229-1920
Phone (718) 998-2929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000626 NY Part B Supplier - Clinic/Group Practice 7618165333 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1720 E 13th St
Ste 1
Brooklyn, NY 11229
Phone (718) 998-2929

1302 Kings Hwy
Fl 6
Brooklyn, NY 11229
Phone (718) 998-2929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1356664031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E 13TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291920",
            "telephone_number": "718-998-2929",
            "fax_number": "718-998-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 13TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291920",
            "telephone_number": "718-998-2929",
            "fax_number": "718-998-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULY GERTSBERG ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "GERTSBERG",
        "authorized_official_first_name": "YULY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "718-998-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.