Individual provider

Carl Gjertson, M.D.

Urology Physician Pediatric Urology Physician Medicare enrolled

Carl Gjertson, M.D. is an Urology Physician in Farmington, CT, registered under NPI 1063472017. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 263 FARMINGTON AVE UROLOGY, Farmington, CT 06030. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

263 FARMINGTON AVE UROLOGY, Farmington, CT 06030 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA12258300 NJ Urology Physician primary
045171 CT Pediatric Urology Physician
045171 CT Urology Physician

Licences are recorded in 2 states: NJ, CT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Urology
PAC ID
5890707822

Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and New Jersey. The practice address on file is in Farmington, CT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut practice address
Licence
045171
Specialty
Pediatric Urology Physician
Verify with the CT board →
NJ New Jersey
Licence
25MA12258300
Specialty
Urology Physician
Verify with the NJ board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208800000X Urology Physician 25MA12258300 NJ primary
2088P0231X Pediatric Urology Physician Pediatric Urology 045171 CT
208800000X Urology Physician 045171 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063472017 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 24, 2006
Last updatedNov 12, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 263 FARMINGTON AVE
UROLOGY
Farmington, CT 06030
(860) 679-4100
Fax (860) 679-1390
Mailing address 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
Red Bank, NJ 07701
Other identifiers 1063472017 (CT)
This record was updated on Nov 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1063472017 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 4 7 2 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 8 7 4 0 2

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063472017?
NPI 1063472017 is the National Provider Identifier assigned to Carl Gjertson, M.D. in Farmington, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Carl Gjertson, M.D.?
The phone number on file with NPPES is (860) 679-4100, last updated Nov 12, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Carl Gjertson, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063472017 a valid number?
Yes. 1063472017 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.