DR. JACOB GERZENSHTEIN MD
NPI 1710041231
Surgery - Plastic and Reconstructive Surgery in Lakeland, FL

Q: What is Jacob Gerzenshtein's NPI number?

The NPI number for Jacob Gerzenshtein is 1710041231. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Jacob Gerzenshtein's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since December 20, 2006PECOS Enrolled

4429 FLORIDA NATIONAL DR, LAKELAND, FL 33813(863) 647-2200(888) 854-1888 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacob Gerzenshtein Md NPPES

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

DR. JACOB GERZENSHTEIN MD (NPI 1710041231) is an individual plastic and reconstructive surgery provider in Lakeland, Florida, licensed in Florida (ME95719) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stoughton.

NPPES Registry Identity

NPI1710041231

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JACOB GERZENSHTEINCredential: MD

Location Address4429 FLORIDA NATIONAL DRLakeland, FL 33813-1516

Mailing Address4429 Florida National DrLakeland, FL 33813-1516 · (863) 647-2200 · Fax (888) 854-1888

Phone(863) 647-2200

Fax(888) 854-1888

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateMay 4, 2025

NPPES CertifiedMay 4, 2025

✔ NPI 1710041231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Licenses✔ Licensed in FL · ME95719✔ Licensed in WI · 47912✔ Licensed in IL · 036-103717

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License ME95719 (FL)

Also ListedPlastic SurgeryTaxonomy 208200000X · License ME95719 (FL)

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License ME95719 (FL)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License ME95719 (FL)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License ME95719 (FL)

4429 FLORIDA NATIONAL DR, Lakeland, FL 33813

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Secondary Practice Location 1

Location 1900 Ridge StStoughton, WI 53589-1864 · Phone (608) 515-8880 · Fax (888) 854-1888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Gerzenshtein 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 2

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

DORAN R STARK MD PA

Plastic Surgery

4429 FLORIDA NATIONAL DR
LAKELAND, FL 33813

Polk County (863) 647-2200

PLASTICG LLC

Surgery (Plastic and Reconstructive Surgery)

4429 FLORIDA NATIONAL DR
LAKELAND, FL 33813

Polk County (863) 647-2200

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 Jacob Gerzenshtein's NPI number?

The NPI number for Jacob Gerzenshtein is 1710041231. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Jacob Gerzenshtein located?

Jacob Gerzenshtein practices at 4429 Florida National Dr, Lakeland, FL 33813. The listed phone number is (863) 647-2200.

What is Jacob Gerzenshtein's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jacob Gerzenshtein enrolled in Medicare?

Yes. Jacob Gerzenshtein is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Gerzenshtein accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Jacob Gerzenshtein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Gerzenshtein was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.