JASON R. GOMBERG
NPI 1083210371
Specialist in Brooklyn, NY

Q: What is Jason Gomberg's NPI number?

The NPI number for Jason Gomberg is 1083210371. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Q: What is Jason Gomberg's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Gomberg was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2020Accepts Medicare Assignment

1312 38TH ST, BROOKLYN, NY 11218(718) 686-3700 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jason R. Gomberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON R. GOMBERG (NPI 1083210371) is an individual specialist in Brooklyn, New York and active in the NPI registry since December 2020. He maintains a secondary practice location in Brooklyn and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083210371

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJASON R. GOMBERG

Location Address1312 38TH STBrooklyn, NY 11218-3612

Mailing Address1312 38th StBrooklyn, NY 11218-3612 · (718) 686-3700

Phone(718) 686-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 10, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1083210371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1312 38TH ST, Brooklyn, NY 11218

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Secondary Practice Location 1

Location 11312 38th StBrooklyn, NY 11218-3612 · Phone (718) 686-3700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason R. Gomberg is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931586146

PECOS Enrollment IDI20220509002263

Medicare Billing Reassignment

Medicare enrollment records show Jason Gomberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Esd Pt Ot & Slp PLLC

5.2 mi

Physical Therapist

2632 ATLANTIC AVE
Brooklyn, NY 11207

Reassigned Medicare billing, New York enrollment
178 clinicians in this Medicare group

NPI 1003383308 (718) 473-3808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

411 services14 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

276 services15 patients

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

118 services12 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

113 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRACHA BRICKMAN

Specialist