Jennifer Gomez

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

5520663 Issued in NY

Practice address

1171 Edison Ave Apt 1
Bronx, NY 10461-6198

Phone

(646) 924-8637

NPI assigned

May 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kindness Home Care LLC

  • Home Health Aide
  • Mount Vernon, NY
  • NPI 1811520398
  NPD Authorized official
• La Isla Family & Friends Corporation

  • Adult Day Care Clinic/Center
  • Bronx, NY
  • NPI 1821777269
  NPD Authorized official
• Royal Registry Inc.

  • Home Health Agency
  • Rego Park, NY
  • NPI 1841014743
  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1336705474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 EDISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616195",
            "telephone_number": "646-924-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 EDISON AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616198",
            "telephone_number": "646-924-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NY",
            "license": "5520663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Gomez, PTA
• Demaris Gomez
• Evelyn Gomez, RN
• Ivonne Antonia Gomez, PA
• Jaquelin Gomez
• Juan A Gomez, MS. SP. TEACHER
• Laurelina Nathalie Gomez
• Lissette Gomez, SOCIAL WORKERS
• Luis Alfonso Gomez Jr., LMSW
• Luis Miguel Gomez

• Home Health Clinical Nurse Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.