BENJAMIN GARRETT GERTSEN MD
NPI 1104485143
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 12, 2019PECOS Enrolled
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642(585) 275-2723 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Garrett Gertsen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN GARRETT GERTSEN MD (NPI 1104485143) is an individual student in an organized health care education/training program in Rochester, New York, licensed in New York (315748) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2019).

NPPES Registry Identity

NPI1104485143
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN GARRETT GERTSENCredential: MD
Location Address601 ELMWOOD AVENUE BOX SURGRochester, NY 14642-6110
Mailing Address234 Highland PkwyRochester, NY 14620-2508 · (360) 857-9057
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1104485143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · 315748
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVENUE BOX SURG, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Garrett Gertsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981198967
PECOS Enrollment IDI20251209000721
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Surgery (Surgical Oncology)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Surgery (Trauma Surgery)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Gertsen's NPI number?

The NPI number for Benjamin Gertsen is 1104485143. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Benjamin Gertsen located?

Benjamin Gertsen practices at 601 Elmwood Avenue Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-2723.

What is Benjamin Gertsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Gertsen enrolled in Medicare?

Yes. Benjamin Gertsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Gertsen was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.