Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl K Gjertson, MD

Individual provider Pediatric Urology Physician · NPI 1063472017

Carl K Gjertson, MD is an Urology in Farmington, Connecticut. Graduated from Columbia University College of Physicians and Surgeons in 2001, 25 years ago. Practices with Shore Specialty Consultants, a 43-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Connecticut and New Jersey.

Years since qualifying
25
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CT, NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

263 Farmington Ave Urology
Farmington, CT 06030-6227
Phone: (860) 679-4100
Fax: (860) 679-1390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 279 Mathistown Rd, Little Egg Harbor Twp, NJ 08087-4021 — (609) 597-1991
  • 1173 Beacon Ave Ste B, Manahawkin, NJ 08050-2531 — (609) 597-1991
  • 1301 Route 72 W Ste 260, Manahawkin, NJ 08050-2483 — (609) 597-1991
  • 1145 Beacon Ave Ste A, Manahawkin, NJ 08050-2471 — (609) 597-1991

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MA12258300 (NJ)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence 045171 (CT)
Urology Physician Taxonomy 208800000X · Licence 045171 (CT)

Record details

NPI number1063472017
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address331 Newman Springs Road Bldg. 2, Suite 220, Red Bank, NJ 07701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2001 (25 years in practice)
Group practice Shore Specialty Consultants — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare