Active NPI
Nancy Jeanette Gomolinski, LCSW
- Clinical Social Worker
- Bergenfield, NJ
National Provider Identifier
1700986890
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04812000
- Practice address
- 74 Westminster Ave
Bergenfield, NJ 07621-3916 - Phone
- (201) 638-3662
- Fax
- (201) 385-9113
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04812000 | NJ | Primary |
Addresses
Primary practice location
74 Westminster Ave
Bergenfield, NJ 07621-3916
Mailing address
74 Westminster Ave
Bergenfield, NJ 07621-3916
Phone (201) 638-3662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039691 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Paramus, NJ
- NPI 1699180877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700986890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 WESTMINSTER AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076213916",
"telephone_number": "201-638-3662",
"fax_number": "201-385-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 WESTMINSTER AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076213916",
"telephone_number": "201-638-3662",
"fax_number": "201-385-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMOLINSKI",
"first_name": "NANCY",
"middle_name": "JEANETTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04812000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0039691",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.