Active NPI
Nicholas Gertz, D.O.
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1972540102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 235729
- Practice address
- 967 N Broadway
Yonkers, NY 10701-1301 - Phone
- (914) 966-9787
- Fax
- (914) 966-9793
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 235729 | NY | Primary |
Addresses
Primary practice location
967 N Broadway
Yonkers, NY 10701-1301
Mailing address
1300 Jericho Tpke
Suite 207
New Hyde Park, NY 11040-4601
Phone (516) 488-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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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": "1658361600000",
"number": "1972540102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 JERICHO TPKE",
"address_2": "SUITE 207",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404601",
"telephone_number": "516-488-3512",
"fax_number": "516-488-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011301",
"telephone_number": "914-966-9787",
"fax_number": "914-966-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTZ",
"first_name": "NICHOLAS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "235729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.