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GEDALIAH CARRERA
NPI 1093370934
Counselor - Mental Health in Bronx, NY

Active since May 07, 2019PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(917) 275-4763 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, May 7, 2019 (2 updates tracked since 2019).

About Gedaliah Carrera NPPES

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

GEDALIAH CARRERA (NPI 1093370934) is an individual mental health provider in Bronx, New York and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093370934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGEDALIAH CARRERA
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address579 Courtlandt AvenueBronx, NY 10451 · (718) 908-8000 · Fax (718) 485-2101
Phone(917) 275-4763
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2019
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
✔ NPI 1093370934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
579 COURTLANDT AVE, Bronx, NY 10451
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Other Identifiers 1

Medicaid22-2036555NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gedaliah Carrera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729420229
PECOS Enrollment IDI20240530000021
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ILIANA PAOLA MEDINA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
KELVIN OLIVO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. RHAZEEL JANGLERI PLATA
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
VANESSA BAEZ
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. JOMAIRA LUZ MARTINEZ LMSW
Social Worker (Clinical)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
RENNY JASMIN RIVERA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
ASHEA ACEVEDO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
SARAH JENSEN MHC
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gedaliah Carrera's NPI number?

The NPI number for Gedaliah Carrera is 1093370934. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Gedaliah Carrera located?

Gedaliah Carrera practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (917) 275-4763.

What is Gedaliah Carrera's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gedaliah Carrera enrolled in Medicare?

Yes. Gedaliah Carrera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gedaliah Carrera was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.