Individual provider Active NPI

Sully Gisel Gomez, CPT

  • Phlebotomy Technician
  • Clifton, NJ
National Provider Identifier
1467318147
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
0425516250SG Issued in NJ
Practice address
1114 Main Ave Unit 13
Clifton, NJ 07015-7002
Phone
(201) 922-0446
Fax
(862) 416-2571
NPI assigned
Dec 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 0425516250SG NJ Primary

Addresses

Primary practice location

1114 Main Ave Unit 13
Clifton, NJ 07015-7002

Mailing address

1114 Main Ave Unit 13
Clifton, NJ 07015-7002
Phone (201) 922-0446

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

State licenses

LicenseStateTypeSpecialty
0425516250SGNJMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1467318147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MAIN AVE UNIT 13",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070157002",
            "telephone_number": "201-922-0446",
            "fax_number": "862-416-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MAIN AVE UNIT 13",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070157002",
            "telephone_number": "201-922-0446",
            "fax_number": "862-416-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SULLY",
        "middle_name": "GISEL",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NJ",
            "license": "0425516250SG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.