Melvyn A Gerstein, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Practice address

3042 W Peterson Ave
Chicago, IL 60659-3729

Phone

(773) 973-3223

Fax

(773) 973-1119

NPI assigned

Sep 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: melvyn.gerstein.p1@direct.gei.nextgenshare.com

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1780782383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-973-3223",
            "fax_number": "773-973-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-973-3223",
            "fax_number": "773-973-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEIN",
        "first_name": "MELVYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "21603195",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041953-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A Gerstad, M.D.
• Gerstein Eye Institute
• Gerstein Eye Institute
• Gerstein Ior LLC
• Craig H Gerstein, M.D.
• Mordecai M Gerstein, M.D.
• Michael Gersten, RP.H
• Tracy S Gertler, M.D., PH.D.
• Yakov Gertsberg
• Betsy Gertz, PHD

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.