Organization Active NPI

Gertsik Podiatry P.C.

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1992745566
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005508 Issued in NY
Legal business name
GERTSIK PODIATRY P.C.
Practice address
415 Oceanview Ave
Brooklyn, NY 11235
Phone
(718) 934-4842
Fax
(718) 616-0165
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vladimir Gertsik, DPMNPI 1194776500
Title
President
Phone
(718) 934-4842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005508 NY Primary

Addresses

Primary practice location

415 Oceanview Ave
Brooklyn, NY 11235

Mailing address

415 Oceanview Ave
Brooklyn, NY 11235
Phone (718) 934-4842

Other identifiers 1

IdentifierTypeStateIssuer
01948049MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060811000125 NY Part B Supplier - Clinic/Group Practice 0648273623 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

415 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 769-0997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1992745566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OCEANVIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-934-4842",
            "fax_number": "718-616-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OCEANVIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-934-4842",
            "fax_number": "718-616-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTSIK PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "GERTSIK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-934-4842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01948049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.