Robert M Kertzner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

138523 Issued in NY

Practice address

2350 Broadway
Suite 220
New York, NY 10024-3214

Phone

(212) 410-4700

Fax

(888) 377-0382

NPI assigned

Jul 13, 2006

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

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.

Opted out of Medicare

Previously, effective Aug 18, 2014 through Aug 18, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• California Pacific Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Seth W Robbins, MD, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1265903132
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1417972134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BROADWAY",
            "address_2": "SUITE 220",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243214",
            "telephone_number": "212-410-4700",
            "fax_number": "888-377-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BROADWAY",
            "address_2": "SUITE 220",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243214",
            "telephone_number": "212-410-4700",
            "fax_number": "888-377-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTZNER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "138523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kersner, PT, DPT
• Abigail Glicksman Kerson, MD
• Ilana Kerstein, M.A. CCC-SLP, TSSLD
• Scott Kerstetter, D.O.
• Allison Schaffer Kert, PH.D.
• Christian Kenneth Kerut, MD
• Sarah Kervin, MM, MS CF-SLP
• Matthew J Kerwin, MD
• /Victoria Kerzhner
• Stacey Kerzhner, DDS

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.