Jacob Gerlitz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335790 Issued in NY

Practice address

1217 E 23Rd St
Brooklyn, NY 11210-4520

Phone

(718) 252-0772

NPI assigned

Mar 29, 2009

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medcare, LLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508993650
  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• General Medical Services of Kings Highway PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1518228386
  NPD (past)
• Lafayette Medical Office, PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1912004995
  NPD (past)
• Lich Faculty Practice

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1104018902
  NPD (past)
• Orange Emergency Services PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1043589682
  NPD (past)
• Scriptdirect LLC

  dba Script Direct

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1710336391
  NPD (past)

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238284800000",
    "number": "1720220395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104520",
            "telephone_number": "718-252-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104520",
            "telephone_number": "718-252-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLITZ",
        "first_name": "JACOB",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Gerken, M.S., R.D.
• Marina Gerkerova, M.S.
• Kecia Helene Gerlach, MD
• Donald Gerle
• Michael Christopher Gerling, M.D.
• Zhanetta Gerlovina, LMHC
• Alexandra J Germain, D.D.S
• Carole Germain
• Fania Germain, BS
• Jessica Germain, DMD

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.