Active NPI
Gerson Zatezalo Skin & Face
- Dermatology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GERSON ZATEZALO SKIN & FACE
- Practice address
- 4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388 - Phone
- (202) 991-9000
- Fax
- (202) 793-4900
- NPI assigned
- Jul 17, 2020
- Last updated
- Sep 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emily Gerson, MD
- Title
- Partner
- Phone
- (202) 841-3560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Ophthalmology Physician | 207W00000X | |||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X |
Addresses
Primary practice location
4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388
Mailing address
4910 Massachusetts Ave NW Ste 302
Washington, DC 20016-4388
Phone (202) 841-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1F1388 | Other | DC | PTAN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2292657 | Gerson Zatezalo Skin + Face | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Washington, DC
- NPI 1649281122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1588272397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 MASSACHUSETTS AVE NW STE 302",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164388",
"telephone_number": "202-841-3560",
"fax_number": "866-215-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 MASSACHUSETTS AVE NW STE 302",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164388",
"telephone_number": "202-991-9000",
"fax_number": "202-793-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERSON ZATEZALO SKIN & FACE",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-17",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "GERSON",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "202-841-3560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "1F1388",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.