Gout Institute of America

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08542000 Issued in NJ

Legal business name

GOUT INSTITUTE OF AMERICA

Practice address

727 Joralemon St.
Belleville, NJ 07109

Phone

(973) 450-1600

Fax

(973) 450-1600

NPI assigned

May 24, 2018

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge G. Mendez, M.D.

Title

Owner

Phone

(973) 450-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1457842429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 JORALEMON STREET",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-450-1600",
            "fax_number": "973-450-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST.",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-450-1600",
            "fax_number": "973-450-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUT INSTITUTE OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-450-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08542000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Cristina Valencia Gonzaga, APN-BC
• Lyanne Karina Gonzalez
• Good Health Pharmacy
• Thomas J Gormley, DMD
• Peter Gould, M.D.
• Gout Institute of America LLC
• Richard Grabowski, PA
• Vanessa Granozio, D.C.
• Suzette Gray, CNM
• Mashenda Green, APRN

• Pain Medicine (Anesthesiology) Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.