Active NPI
Rochelle Maria Regina Sequeira Gomes, MD
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1689059008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MT214913
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180711000111 | PA | Order and Referring Only - Pediatric Medicine | 7517213275 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0006761 | DE | MD | Neonatal-Perinatal Medicine Physician |
| MT214913 | PA | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.