Individual provider Active NPI

Jacob Gohari, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1619506490
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
324734 Issued in NY
Practice address
1268 E 14TH St
Brooklyn, NY 11230-5241
Phone
(718) 382-0045
NPI assigned
Apr 3, 2020
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 324734 NY Primary

Addresses

Primary practice location

1268 E 14TH St
Brooklyn, NY 11230-5241

Mailing address

1268 E 14TH St
Brooklyn, NY 11230-5241
Phone (718) 382-0045

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607001932 NY Practitioner - Psychiatry 3476095258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1268 E 14TH St
Brooklyn, NY 11230-5241
Phone (718) 382-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children's Home and Family Services, Inc. Current Accepting new patients
Ohel Children's Home and Family Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Jacob Gohari, MD PLLC Psychiatry Current Accepting new patients
Ohel Children's Home and Family Services, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

1268 E 14th St
Brooklyn, NY 11230
Phone (718) 851-6300

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1619506490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHARI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "324734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.