DR. JACOB GERZENSHTEIN MD NPI 1710041231

NPI Information

  • NPI: 1710041231
  • Provider Name: DR. JACOB GERZENSHTEIN, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4429 FLORIDA NATIONAL DR
    LAKELAND, FL
    ZIP 33813
  • Phone: (863) 647-2200

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NPI Details

DR. Jacob Gerzenshtein, MD is a plastic and reconstructive surgery surgery in Lakeland, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jacob Gerzenshtein, MD NPI is 1710041231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4429 FLORIDA NATIONAL DR
LAKELAND, FL
ZIP 33813-516
Phone: (863) 647-2200
Fax: (888) 854-1888

The NPI 1710041231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 5/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME95719FLORIDANo
22082S0105XPlastic SurgerySurgery of the HandME95719FLORIDANo
32083P0011XPreventive MedicineUndersea and Hyperbaric MedicineME95719FLORIDANo
42086S0122XSurgeryPlastic and Reconstructive Surgery47912WISCONSINNo
52086S0122XSurgeryPlastic and Reconstructive Surgery036-103717ILLINOISNo
62086S0122XSurgeryPlastic and Reconstructive SurgeryME95719FLORIDAYes
7208200000XPlastic SurgeryME95719FLORIDANo
8207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineME95719FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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