Individual provider Active NPI

Brielle Gomez, DNP

  • Family Nurse Practitioner
  • Washington, NJ
National Provider Identifier
1639955842
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14910400 Issued in NJ
Practice address
6 Clubhouse Drive
Suite 102
Washington, NJ 07882-2213
Phone
(908) 237-4144
Fax
(908) 237-4137
NPI assigned
Sep 4, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 26NJ14910400 NJ Primary

Addresses

Primary practice location

6 Clubhouse Drive
Suite 102
Washington, NJ 07882-2213

Mailing address

6 Clubhouse Drive
Suite 102
Washington, NJ 07882-2213
Phone (908) 237-4144

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
I20231209000179 NJ Practitioner - Nurse Practitioner 7113376633 Reassigns benefits to 1 organization

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
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

6 Club House Dr
Suite 102
Washington, NJ 07882-2213
Phone (908) 237-4144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14910400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC CurrentSince Nov 1, 2023 Accepting new patients
Hunterdon Primary Care PC Current Accepting new patients
Hunterdon Primary Care, PC CurrentSince Nov 1, 2023 Accepting new patients
Hunterdon Primary Care PC Past Accepting new patients

Locations

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

84 Route 31 N
Ste 103
Pennington, NJ 08534
Phone (609) 730-1771

6 Club House Dr
Ste 102
Washington, NJ 07882
Phone (908) 237-4144

Interoperability endpoints

  • Direct secure messaging: brielle.gomez.p117@direct.hunterdon.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1639955842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CLUBHOUSE DRIVE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822213",
            "telephone_number": "908-237-4144",
            "fax_number": "908-237-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CLUBHOUSE DRIVE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822213",
            "telephone_number": "908-237-4144",
            "fax_number": "908-237-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "BRIELLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14910400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.