Claudio Gomez DPM LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · North Plainfield, NJ
NPI 1013305432 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1013305432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 25MD00298900 (NJ)
- Legal business name
- CLAUDIO GOMEZ DPM LLC
- Practice address
- 401 US Highway 22 W
Unit 40 B
North Plainfield, NJ 07060-3805 - Phone
- (908) 756-5049
- Fax
- (908) 271-4496
- NPI assigned
- Jan 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Claudio Gomez, D.P.M.
- Title
- Owner / Doctor
- Phone
- (908) 755-5500
Other NPIs with the same Medicare PAC ID 1
-
Claudio Gomez, D.P.M
Practitioners 1
-
Claudio Gomez, D.P.M
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150430002053 | NJ | Part B Supplier - Clinic/Group Practice | 7214256916 |
Receives reassigned benefits from 1 practitioner Practice locations: Plainfield, NJ; Paterson, NJ; Fair Lawn, NJ |
National Provider Directory
Locations
641 Broadway
Ste 1
Paterson, NJ 07514
Phone (862) 264-1227
120 W 7th St
Ste 211
Plainfield, NJ 07060
Phone (347) 725-2997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 25MD00298900 | NJ | Yes |
Addresses
Primary practice location
401 US Highway 22 W
Unit 40 B
North Plainfield, NJ 07060-3805
Mailing address
120 W 7TH St
Suite 211
Plainfield, NJ 07060-1643
Phone (908) 755-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0325091 | Medicaid | NJ |
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All providers in North Plainfield, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.