Active NPI
Nicholas Gomez
- Prosthetist
- Patchogue, NY
National Provider Identifier
1467369777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 37 Rider Ave
Patchogue, NY 11772-3915 - Phone
- (631) 563-4550
- Fax
- (631) 563-4554
- NPI assigned
- Aug 25, 2026
- Last updated
- Aug 25, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
37 Rider Ave
Patchogue, NY 11772-3915
Mailing address
170 Earle Ave
Lynbrook, NY 11563-2642
Phone (516) 678-3650
Other practice location 1
170 Earle Ave
Lynbrook, NY 11563-2642
Phone (516) 678-3650
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Orthopedics, Inc. | Past | Accepting new patients | |
| International Orthopedics, Inc. | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba International Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Mineola, NY
- NPI 1407115553
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Patchogue, NY
- NPI 1629054747
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1467369777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 EARLE AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632642",
"telephone_number": "516-678-3650",
"fax_number": "516-678-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 RIDER AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723915",
"telephone_number": "631-563-4550",
"fax_number": "631-563-4554"
}
],
"practiceLocations": [
{
"address_1": "170 Earle Ave",
"address_purpose": "LOCATION",
"city": "Lynbrook",
"state": "NY",
"postal_code": "115632642",
"country_code": "US",
"telephone_number": "516-678-3650",
"fax_number": "516-678-3650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.