Ricardo Antonio Gomez-Vasquez., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA09202200 Issued in NJ

Practice address

550 Mount Prospect Ave
Newark, NJ 07104-1530

Phone

(973) 482-4697

Fax

(973) 482-0893

NPI assigned

May 19, 2008

Last updated

May 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Dr. Ricardo A Gomez-Vasquez Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment Care Compare group NPD
• Garden State Cardiovascular Specialists P.C

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1225059660
  Medicare reassignment NPD
• Escales Medical Associates at Wayne LLC

  • Multi-Specialty Clinic/Center
  • Wayne, NJ
  • NPI 1780153338
  NPD
• Wayne Medical Care PA

  • Geriatric Medicine (Family Medicine) Physician
  • Wayne, NJ
  • NPI 1548476138
  NPD
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1801053715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041530",
            "telephone_number": "973-482-4697",
            "fax_number": "973-482-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-VASQUEZ.",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7265",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09202200",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "48241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL LICENSE",
            "identifier": "25MA09202200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT MEDICAL LICENCE",
            "identifier": "48241",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331651",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK MEDICAL LICENSE",
            "identifier": "267260",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "N7265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "GOMEZ-VASQUEZ",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jonathan Edward Goldstein, M.D.
• Kahlil Golightly
• Elina Golub, NP
• Christine Gomes
• Victor M. Gomes, DMD
• Alexandra Gomez, MD
• Jose R Gomez, MD
• Roberto Gomez, MD
• Rosanny Gomez
• Irene Goncharov, DNP

• Family Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.