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JACQUELINE LEIGH GOMBERG
NPI 1316576309
Emergency Medicine in New York, NY

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
462 1ST AVE, NEW YORK, NY 10016(212) 562-4141 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Apr 2, 2020 (2 updates tracked since 2020).

About Jacqueline Leigh Gomberg NPPES

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

JACQUELINE LEIGH GOMBERG (NPI 1316576309) is an individual emergency medicine provider in New York, New York, licensed in New York (322383) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2020).

NPPES Registry Identity

NPI1316576309
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJACQUELINE LEIGH GOMBERG
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address541 1st AvenueNew York, NY 10016
Phone(212) 562-4141
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1316576309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 322383
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
462 1ST AVE, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Leigh 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 ID143686089
PECOS Enrollment IDI20230518000603
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services29 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ROBERT MICHAEL LEMBO MD
Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-6425
MISS SHARONA DEBORAH KASHIMALLAK RPA-C
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 578-9951
ALEXANDRA KVERNLAND MD
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
RACHEL ZOE BAUMSTEIN DPT
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
New York County (212) 562-7059
ALIXANDRA LIN PETERSEN DPT
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-7059
ABIGAIL LLOYD
Social Worker
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
TALYA BUXBAUM
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 309-3239
MR. ALEX DASILVA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016
New York County (646) 236-0823

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 Jacqueline Gomberg's NPI number?

The NPI number for Jacqueline Gomberg is 1316576309. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jacqueline Gomberg located?

Jacqueline Gomberg practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-4141.

What is Jacqueline Gomberg's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacqueline Gomberg enrolled in Medicare?

Yes. Jacqueline Gomberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Gomberg affiliated with any hospitals?

According to CMS data, Jacqueline Gomberg is affiliated with Bellevue Hospital Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Gomberg was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.