Brian Gerson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F337112-1 Issued in NY

Practice address

375 Commack Rd Unit a
Deer Park, NY 11729-5522

Phone

(631) 940-0409

Fax

(631) 940-0409

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

No

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.

• Innovative Medical Care PLLC

  • Family Medicine Physician
  • Deer Park, NY
  • NPI 1063720910
  Medicare reassignment NPD

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1740552637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FISHER AVE # 22",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663407",
            "telephone_number": "516-322-4878",
            "fax_number": "707-880-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD UNIT A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295522",
            "telephone_number": "631-940-0409",
            "fax_number": "631-940-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mila Gallego
• Jeanne S Ganz, OTR
• Christine E Gardner, MS, BCBA, LBA
• Christina Gasiewski, OTR/L
• Danielle Lynn Geiger, R.D.
• Amrit Ghara, NP
• Sajeda Gheewala
• Fahad Ghias, D.O
• Ana Giangrande
• Jamie Giannino

• Family Nurse Practitioner in Deer Park, NY
• Providers in Deer Park, 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 Aug 16, 2019; 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.