Active NPI
Tamar M Gomes, AU.D.
- Audiologist
- Waltham, MA
National Provider Identifier
1043409592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SP-876-AU
- Practice address
- 9 Hope Ave
Waltham, MA 02453-2741 - Phone
- (781) 216-2304
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SP-876-AU | MA | Primary |
Addresses
Primary practice location
9 Hope Ave
Waltham, MA 02453-2741
Mailing address
300 Longwood Ave # L0-367
Boston, MA 02115-5724
Phone (617) 355-6417
Other names 1
- Tamar Del Valle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-876-AU | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHMC Otolaryngologic Foundation, Inc | Audiologist | Current | Accepting new patients |
| Childrens Hospital Boston | Past | Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
300 Longwood Ave
#L367
Boston, MA 02115
9 Hope Ave
Waltham, MA 02453
Phone (617) 243-5590
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Children's Hospital
- Boston, MA
- NPI 1770741530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1043409592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE # L0-367",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "781-216-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "TAMAR",
"middle_name": "M",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "SP-876-AU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMAR",
"last_name": "DEL VALLE",
"credential": "CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.