Alejandro Gomez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07362100 Issued in NJ

Practice address

776 Shrewsbury Ave
Suite 103
Tinton Falls, NJ 07724-3006

Phone

(732) 758-1223

Fax

(732) 758-0866

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alejandro.gomez.p1@direct.mfhcnj.nextgenshare.com

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.

• Tinton Falls Pediatrics

  • Pediatrics Physician
  • Tinton Falls, NJ
  • NPI 1326395047
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447333075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHIRLEY ANN DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123229",
            "telephone_number": "732-922-8543",
            "fax_number": "732-758-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "SUITE 103",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-758-1223",
            "fax_number": "732-758-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07362100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8846502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Franklin Gilstein, LPC
• Cary D Glastein, M.D
• Alycia Clair Gleason, PHARMD
• Andrew Gamal; Gobran, DDS
• Galina Goldenberg, DDS
• Priscila N Gonzalez, MD
• Michael Gottfried, M.D.
• Chelsea Y Gould
• Richard E Govignon Jr., PHARM.D
• Thaddeus J Grabowy, MD

• Pediatrics Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.