Provider Demographics
NPI:1760459796
Name:GINSBERG, GERALD STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:STEVEN
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6936
Mailing Address - Country:US
Mailing Address - Phone:585-329-7261
Mailing Address - Fax:305-735-4806
Practice Address - Street 1:1012 JAMES ST
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-6936
Practice Address - Country:US
Practice Address - Phone:585-329-7261
Practice Address - Fax:305-735-4806
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL112843207RE0101X
FLME112843207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFG3626504OtherDEA
FLFG3626504OtherDEA
FLFG3626504OtherDEA
NYD01685Medicare UPIN
NY102459BSOtherPREFERRED CARE PROVIDER #
NY2208371OtherINDEPENDENT HEALTH PROV #
NY005326833OtherCOMMUNITY BLUE