Individual provider Active NPI

Talia S Gothelf, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1407718133
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
76 7TH Ave
Brooklyn, NY 11217-3617
Phone
(800) 788-3090
Fax
(718) 748-2151
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

76 7TH Ave
Brooklyn, NY 11217-3617

Mailing address

76 7TH Ave
Brooklyn, NY 11217-3617
Phone (800) 788-3090

Other names 1

  • Talia Berlin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald R Brancaccio MD & Peter Saitta DO PC CurrentSince Dec 7, 2025 Accepting new patients
Saitta Dermatology PC PastSince Dec 7, 2025 Accepting new patients

Locations

76 7th Ave
Brooklyn, NY 11217
Phone (718) 238-0500

10933 71st Rd
Ste 1F
Forest Hills, NY 11375
Phone (718) 575-2930

Organizations & group practices 2

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1407718133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173617",
            "telephone_number": "800-788-3090",
            "fax_number": "718-748-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173617",
            "telephone_number": "800-788-3090",
            "fax_number": "718-748-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHELF",
        "first_name": "TALIA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "BERLIN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.