Individual provider Active NPI

Emelita Gomez Lao, REGISTERED NURSE

  • Wound Care Registered Nurse
  • Jersey City, NJ
National Provider Identifier
1306072772
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
26NO09926400 Issued in NJ
Practice address
51 Sycamore Rd
Jersey City, NJ 07305-1239
Phone
(201) 451-0269
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NO09926400 NJ
Home Health Registered Nurse 163WH0200X 26NO09926400 NJ
Wound Care Registered Nurse 163WW0000X 26NO09926400 NJ Primary

Addresses

Primary practice location

51 Sycamore Rd
Jersey City, NJ 07305-1239

Mailing address

51 Sycamore Rd
Jersey City, NJ 07305-1239
Phone (201) 451-0269

Other names 1

  • Ms. Emelita Gomez Lao Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NO09926400NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1306072772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SYCAMORE RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051239",
            "telephone_number": "201-451-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SYCAMORE RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051239",
            "telephone_number": "201-451-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "EMELITA",
        "middle_name": "GOMEZ",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO09926400",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "26NO09926400",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "26NO09926400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMELITA",
            "last_name": "LAO",
            "middle_name": "GOMEZ",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.