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JACK GOMBERG MD
NPI 1396547105
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 25, 2025
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Gomberg Md NPPES

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

JACK GOMBERG MD (NPI 1396547105) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1396547105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK GOMBERGCredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address1468 Madison AveNew York, NY 10029-6508 · (212) 241-6500
Phone(212) 241-6500
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1396547105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1468 MADISON AVE, New York, NY 10029
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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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Jack Gomberg's NPI number?

The NPI number for Jack Gomberg is 1396547105. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Jack Gomberg located?

Jack Gomberg practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jack Gomberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Gomberg was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.