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

Jason R. Gomberg

Individual provider Specialist · NPI 1083210371

Jason R. Gomberg is an Occupational Therapist in Private Practice in Brooklyn, New York. Qualified in 2019, 7 years ago. Practices with Esd PT OT and SLP PLLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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Practice location Address checks out

1312 38th St
Brooklyn, NY 11218-3612
Phone: (718) 686-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1312 38th St, Brooklyn, NY 11218-3612 — (718) 686-3700

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1083210371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 3, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Esd Pt Ot And Slp Pllc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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