Active NPI
Julie Kathleen Gomez, NP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1306490578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343729-1
- Practice address
- 3959 Broadway
11 Central
New York, NY 10032 - Phone
- (551) 265-6450
- NPI assigned
- Jul 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343729-1 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
11 Central
New York, NY 10032
Mailing address
3959 Broadway
11 Central
New York, NY 10032
Phone (551) 265-6450
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F343729-1 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- juu9002@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1306490578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "11 CENTRAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "551-265-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "11 CENTRAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "551-265-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JULIE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343729-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.