Justin Lorenz Gomez-Stafford, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

330 Longwood Ave
Boston, MA 02115-5746

Phone

(617) 355-6000

NPI assigned

Sep 8, 2023

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1740067370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FISHER AVE APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021203520",
            "telephone_number": "203-843-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155746",
            "telephone_number": "617-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-STAFFORD",
        "first_name": "JUSTIN",
        "middle_name": "LORENZ",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Fernando Gomez Marroquin
• Jorge Luis Gomez Mayorga, MD
• Sara Isabel Gomez Villegas, MD
• Teresa Gomez-Isla, MD
• Andrea Del Pilar Gomez-Morad, MD
• Alexis Catherine Gomez, MD
• Amanda Gomez, MD
• Angelica V Gomez, M.S.
• Antonio Gomez, M.D.
• Blanca M Gomez

• Genetic Counselor (M.S.) in Boston, MA
• Providers in Boston, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.