Individual provider Active NPI

Bela Gershgorin

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1235295544
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R074056-1 Issued in NY
Practice address
1612 Central Ave
Far Rockaway, NY 11691-4002
Phone
(718) 753-7227
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R074056-1 NY
Clinical Social Worker 1041C0700X R074056-1 NY Primary

Addresses

Primary practice location

1612 Central Ave
Far Rockaway, NY 11691-4002

Mailing address

1180 E Broadway Apt 11
Hewlett, NY 11557-2435
Phone (718) 753-7227

Other identifiers 2

IdentifierTypeStateIssuer
02482873MedicaidNY
G300133806OtherNYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430000172 NY Practitioner - Clinical Social Worker 0941384796 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY; Far Rockaway, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2004 Seagirt Blvd
Far Rockaway, NY 11691-2802
Phone (718) 753-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R074056-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Jan 1, 2007 Accepting new patients
Vantage Medical Associates PC CurrentSince Oct 5, 2025 Accepting new patients
Dr. Iospa Psychiatry Consulting, P.C. CurrentSince Nov 11, 2017 Accepting new patients

Locations

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1235295544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 E BROADWAY APT 11",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572435",
            "telephone_number": "718-753-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-753-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHGORIN",
        "first_name": "BELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R074056-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R074056-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02482873",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G300133806",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.