Jacob Gerzenshtein, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME95719 Issued in FL

Practice address

4429 Florida National Dr
Lakeland, FL 33813-1516

Phone

(863) 647-2200

Fax

(888) 854-1888

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Plasticg LLC

  • Plastic and Reconstructive Surgery Physician
  • Lakeland, FL
  • NPI 1992094684
  Medicare reassignment Authorized official
• Finer You PA

  • Surgery Physician
  • Lutz, FL
  • NPI 1932508280
  NPD Authorized official
• Doran R Stark MD PA

  • Plastic Surgery Physician
  • Lakeland, FL
  • NPI 1487888731
  NPD (past)
• Vein & Vascular Experts, PLLC

  • Vascular Surgery Physician
  • Lakeland, FL
  • NPI 1689196248
  NPD (past)
• CHC Wellness Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1184785651
  NPD (past)
• Marion General Hospital

  • Rural Acute Care Hospital
  • Columbia, MS
  • NPI 1083637904
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1710041231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 FLORIDA NATIONAL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131516",
            "telephone_number": "863-647-2200",
            "fax_number": "888-854-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 FLORIDA NATIONAL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131516",
            "telephone_number": "863-647-2200",
            "fax_number": "888-854-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891864",
            "country_code": "US",
            "telephone_number": "608-515-8880",
            "fax_number": "888-854-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERZENSHTEIN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME95719",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME95719",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME95719",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "47912",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036-103717",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME95719",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME95719",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME95719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ninan George, OD
• Soeurette Georges
• Gerard H Hubbell OD PA
• Marilyn Gerardo
• David W Gergen, D.P.M.
• Danielle Geva, COTA
• Benjamin H Ghaly, DMD
• Youssef B Ghaly, M.D.
• Rehan Ghani, DDS
• George Ghareeb, MD

• Plastic and Reconstructive Surgery Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.