Elizabeth Martinez de Gomez, C.C.C., S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01944 Issued in NY

Practice address

1120 Morris Park Avenue Suite 2B
Bronx, NY 10461

Phone

(718) 409-6977

Fax

(718) 409-6946

NPI assigned

Jan 19, 2011

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.

• Therapeutic Imprints

  • Case Management Agency
  • Bronx, NY
  • NPI 1770845414
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1386949592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVENUE SUITE 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-409-6977",
            "fax_number": "718-409-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVENUE SUITE 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-409-6977",
            "fax_number": "718-409-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ DE GOMEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "C.C.C., S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "01944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatasha Martin
• Sophie Martin, LD, RD
• Steven Martin, M.D.
• Sylvia Martin
• Brittany Martinez Coste
• Jailene Martinez Garcia, M.S
• Franklin Alberto Martinez Gutierrez, MD
• Nairoby Katherine Martinez Molina
• Ruby Martinez Ochoa
• Juan Francisco Martinez Ortega, MD

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.