Active NPI
Sergio Andres Gomez
- Behavior Analyst
- Dix Hills, NY
National Provider Identifier
1396549325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 8 Cornish CT
Dix Hills, NY 11746-6002 - Phone
- (347) 432-3183
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
8 Cornish CT
Dix Hills, NY 11746-6002
Mailing address
7 Greene Ave Ste 2a
Amityville, NY 11701-2964
Phone (516) 902-2480
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1396549325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GREENE AVE STE 2A",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012964",
"telephone_number": "516-902-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CORNISH CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466002",
"telephone_number": "347-432-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "SERGIO",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.