NPIMap

Individual provider Active NPI

Henry Gomez, M.D.

  • Cardiovascular Disease Physician
  • Lake Success, NY
National Provider Identifier
1396773362
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
188830 Issued in NY
Practice address
1983 Marcus Ave
Suite E 124
Lake Success, NY 11042
Phone
(516) 627-2121
Fax
(516) 627-4922
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 188830 NY Primary

Addresses

Primary practice location

1983 Marcus Ave
Suite E 124
Lake Success, NY 11042

Mailing address

1983 Marcus Ave
Suite E 124
Lake Success, NY 11042
Phone (516) 627-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000126 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789789264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Morehouse School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Cardiovascular Imaging Consultants, PCGroup PAC ID 3072404847, 4 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1983 Marcus Ave
Suite E124
New Hyde Park, NY 11042-2020
Phone (516) 627-5430

4 Ohio Dr
New Hyde Park, NY 11042-1111
Phone (516) 775-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188830NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC CurrentSince Sep 1, 2025 Accepting new patients
Long Island Cardiovascular Imaging Consultants, PC Cardiovascular Disease CurrentSince Sep 1, 1996 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Sep 1, 2025 Accepting new patients

Locations

310 E Shore Rd
Ste 104
Great Neck, NY 11023
Phone (516) 829-9550

1129 Northern Blvd
Ste 408
Manhasset, NY 11030
Phone (516) 627-2121

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

1983 Marcus Ave
Ste E124
New Hyde Park, NY 11042
Phone (516) 466-1700

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

27005 76th Ave
North New Hyde Pk, NY 11040

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGJBA
  • Direct secure messaging: hgomez23745@direct-chsli.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1396773362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "SUITE E 124",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-627-2121",
            "fax_number": "516-627-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "SUITE E 124",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-627-2121",
            "fax_number": "516-627-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "188830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.