Individual provider Active NPI

Deanna Marie Gomez, APN

  • Family Nurse Practitioner
  • East Windsor, NJ
National Provider Identifier
1629703525
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01342700 Issued in NJ
Practice address
400 US Highway 130
East Windsor, NJ 08520-2792
Phone
(609) 443-8780
NPI assigned
Jul 24, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01342700 NJ Primary

Addresses

Primary practice location

400 US Highway 130
East Windsor, NJ 08520-2792

Mailing address

400 US Highway 130
East Windsor, NJ 08520-2923
Phone (609) 443-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002700 NJ Practitioner - Nurse Practitioner 9133591027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Family Care LLCGroup PAC ID 6406158542, 2 clinicians

Practice addresses (Care Compare)

400 US Hwy 130
East Windsor, NJ 08520-2792
Phone (609) 443-8780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01342700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Family Care LLC CurrentSince Jan 16, 2023 Accepting new patients
Live Urgent Care LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

400 US Highway 130
East Windsor, NJ 08520
Phone (609) 918-0600

800 Denow Rd
Pennington, NJ 08534
Phone (609) 613-2226

Interoperability endpoints

  • Direct secure messaging: deanna.gomez.1@23060.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1629703525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202923",
            "telephone_number": "609-443-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202792",
            "telephone_number": "609-443-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01342700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.