Individual provider Active NPI

Rochelle Maria Regina Sequeira Gomes, MD

  • Neonatal-Perinatal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689059008
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MT214913 Issued in PA
Practice address
833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428
Phone
(215) 955-2074
Fax
(215) 861-0408
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X C7-0006761 DE
Neonatal-Perinatal Medicine Physician 2080N0001X MT214913 PA Primary

Addresses

Primary practice location

833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428

Mailing address

833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428
Phone (215) 955-2074

Other practice location 1

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

Other practice location 2

111 S 11th St
Philadelphia, PA 19107-4824
Phone (215) 955-6000

Other practice location 3

7911 41st Ave
Apt A 216
Elmhurst, NY 11373-1258
Phone (740) 331-2003

Other practice location 4

4755 Ogletown Stanton Rd
Newark, DE 19718-1258
Phone (302) 733-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711000111 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7517213275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7-0006761DEMDNeonatal-Perinatal Medicine Physician
MT214913PAMDNeonatal-Perinatal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rsequeiragomes73421@direct.nemours.org

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1689059008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074428",
            "telephone_number": "215-955-2074",
            "fax_number": "215-861-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074428",
            "telephone_number": "215-955-2074",
            "fax_number": "215-861-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7911 41st Ave",
            "address_2": "Apt A 216",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731258",
            "country_code": "US",
            "telephone_number": "740-331-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197181258",
            "country_code": "US",
            "telephone_number": "302-733-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEQUEIRA GOMES",
        "first_name": "ROCHELLE",
        "middle_name": "MARIA REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DE",
            "license": "C7-0006761",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MT214913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.