Individual provider Active NPI

Jay Ira Bertin, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1972547131
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2Counseling and Psychotherapy of Throggs Neck
3594 East Tremont Ave.
Bronx, NY 10465-2032
Phone
(718) 792-4178
Fax
(718) 792-2496
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2Counseling and Psychotherapy of Throggs Neck
3594 East Tremont Ave.
Bronx, NY 10465-2032

Mailing address

2Counseling and Psychotherapy of Throggs Neck
3594 East Tremont Ave
Bronx, NY 10465-2032
Phone (718) 792-4178

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024048NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ilana Slaff Medical PLLC PastSince Oct 6, 2018 Accepting new patients

Organizations & group practices 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972547131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2COUNSELING AND PSYCHOTHERAPY OF THROGGS NECK",
            "address_2": "3594 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-792-4178",
            "fax_number": "718-792-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2COUNSELING AND PSYCHOTHERAPY OF THROGGS NECK",
            "address_2": "3594 EAST TREMONT AVE.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-792-4178",
            "fax_number": "718-792-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTIN",
        "first_name": "JAY",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.