Yakov Gertsberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045122 Issued in NY

Practice address

561 E 3Rd St
Brooklyn, NY 11218-5064

Phone

(718) 854-3031

Fax

(718) 854-3031

NPI assigned

Mar 6, 2007

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

New York University College of Dentistry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1952431587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 EAST 3 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184505",
            "telephone_number": "718-854-3031",
            "fax_number": "718-854-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185064",
            "telephone_number": "718-854-3031",
            "fax_number": "718-854-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3514 Neptune Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241504",
            "country_code": "US",
            "telephone_number": "718-996-9696",
            "fax_number": "718-854-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERTSBERG",
        "first_name": "YAKOV",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susannah Rebecca Gersten, LCSW
• Moshe J Gertner
• Julia Gertopsky, LMHC
• Vladislav Gerts, DDS
• Diana Gertsberg
• Yuly Gertsberg, DDS
• Svetlana Gertsenshteyn, PHD, MPH, RD, CDN
• Gertsik Podiatry P.C.
• Vladimir Gertsik, DPM
• Jennifer Gertz, OTR/L

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.