Active NPI
Richard Jay Gersh, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1942247994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 164428
- Practice address
- 119 W 57TH St
Suite 620
New York, NY 10019-2303 - Phone
- (917) 484-6406
- Fax
- (212) 423-6534
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 164428 | NY | Primary |
Addresses
Primary practice location
119 W 57TH St
Suite 620
New York, NY 10019-2303
Mailing address
119 W 57TH St
Suite 620
New York, NY 10019-2303
Phone (917) 484-6406
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01207592 | Medicaid | NY | |
| 164428 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc | Past | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Past | Accepting new patients |
Locations
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
Interoperability endpoints
- rgersh840171@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821273459
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1942247994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W 57TH ST",
"address_2": "SUITE 620",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192303",
"telephone_number": "917-484-6406",
"fax_number": "212-423-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH ST",
"address_2": "SUITE 620",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192303",
"telephone_number": "917-484-6406",
"fax_number": "212-423-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSH",
"first_name": "RICHARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "164428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01207592",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "164428",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.