Elizardo Domingo Gumabon, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NE01041700 Issued in NJ

Practice address

1098 White Oak CT
Toms River, NJ 08753-5332

Phone

(732) 473-1569

Fax

(732) 473-9974

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nurses on Call Home Health and Stafffing Agency

  • Nursing Care Agency
  • Toms River, NJ
  • NPI 1265536981
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639265747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 WHITE OAK CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535332",
            "telephone_number": "732-473-1569",
            "fax_number": "732-473-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 WHITE OAK CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535332",
            "telephone_number": "732-473-1569",
            "fax_number": "732-473-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMABON",
        "first_name": "ELIZARDO",
        "middle_name": "DOMINGO",
        "name_prefix": "Mr.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NE01041700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Guempel
• Gene Salvatore Guerino, DDS
• Isabel C Guerrero, MD
• Aliza Gugenheim
• Cynthia Gui
• Anil Kumar Gupta, MD
• Rajeev Gupta, D.D.S.
• Rakesh Vardhan Gupta, M.D.
• Suraj Gupta, M.D. FACP
• Sarpreet Gurm, CRNA

• Licensed Practical Nurse in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Licensed Practical Nurse 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.