Camila Ortiz Gorraiz, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA13194600 Issued in NJ

Practice address

17-17 Route 208 FL 2
Fair Lawn, NJ 07410-2820

Phone

(201) 444-5200

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Camila Ortiz Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1306576046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-17 ROUTE 208 FL 2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102820",
            "telephone_number": "201-444-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRAIZ",
        "first_name": "CAMILA",
        "middle_name": "ORTIZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA13194600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILA",
            "last_name": "ORTIZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Goonetilleke-Alvarado, OD
• Edlira Gora
• Jill Gordley
• Julia Gordon, LSW
• Gary I Gorodokin, MD
• Jessica E Gosses, LPC
• Tatiana V Gostev, MASSAGE THERAPIST
• Gotlieb Hearing Center
• Gotlieb Hearing Center Limited Liability Company
• Talia Gotlieb, MA, CCC-A

• Dermatology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.