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: July 19, 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.

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
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).

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104485143, enumerated as an "individual" on June 12, 2019.

The provider is located at 601 ELMWOOD AVENUE BOX SURG ROCHESTER, NY 14642 and the phone number is (585) 275-2723.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.