Active NPI
Melissa Gomez
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1285554782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 360644
- Practice address
- 1114 Liberty Ave
Brooklyn, NY 11208-2922 - Phone
- (718) 765-6058
- Fax
- (347) 808-4985
- NPI assigned
- Jul 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15560600 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 360644 | NY | Primary |
Addresses
Primary practice location
1114 Liberty Ave
Brooklyn, NY 11208-2922
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (833) 804-1695
Other practice location 1
535 N Park Dr
Perth Amboy, NJ 08861-1917
Phone (848) 203-5105
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Myers Medical, P.C. | Family | Current | Accepting new patients |
Locations
1114 Liberty Ave
Brooklyn, NY 11208
Phone (718) 765-6058
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": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1285554782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "833-804-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082922",
"telephone_number": "718-765-6058",
"fax_number": "347-808-4985"
}
],
"practiceLocations": [
{
"address_1": "535 N Park Dr",
"address_purpose": "LOCATION",
"city": "Perth Amboy",
"state": "NJ",
"postal_code": "088611917",
"country_code": "US",
"telephone_number": "848-203-5105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-16",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15560600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "360644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.