Individual provider Active NPI

Jenny Gerner, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1437428828
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275602 Issued in NY
Practice address
2771 Frederick Douglass Blvd
New York, NY 10039
Phone
(212) 523-8672
Fax
(212) 636-3000
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275602 NY Primary

Addresses

Primary practice location

2771 Frederick Douglass Blvd
New York, NY 10039

Mailing address

2771 Frederick Douglass Blvd
New York, NY 10039-3027
Phone (212) 523-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20121011000053 NY Practitioner - Internal Medicine 2860641693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Medicine PLLCGroup PAC ID 1456879451, 23 clinicians

Practice addresses (Care Compare)

300 W 108TH St
Apt 13a
New York, NY 10025-2788
Phone (212) 280-4740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275602NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. CurrentSince May 16, 2025 Accepting new patients
Practice Associates Medical Group Internal Medicine Past Accepting new patients
American Chiropractic Enterprise PLLC Past Accepting new patients

Locations

219 Driggs Ave
Ste 1M
Brooklyn, NY 11222

219 Driggs Ave
Brooklyn, NY 11222

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

598 Broadway
Fl 2
New York, NY 10012
Phone (212) 219-7716

315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

55 E 87th St
Ste 1F
New York, NY 10128
Phone (212) 427-2131

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1437428828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393027",
            "telephone_number": "212-523-8672",
            "fax_number": "212-636-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10039",
            "telephone_number": "212-523-8672",
            "fax_number": "212-636-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNER",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.