Jader Gomez

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

16035 NW 42ND Ave
Miami Gardens, FL 33054-6146

Phone

(786) 262-5414

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Jader Group Home Inc

  • Developmental Disabilities Clinic/Center
  • Miami Gardens, FL
  • NPI 1295440865
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1801515077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 NW 42ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546146",
            "telephone_number": "786-262-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 NW 42ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546146",
            "telephone_number": "786-262-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JADER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Gomez Perez, R.T.(R)(CT)(ARRT)
• Gomez Radiology LLC
• Yolayni Gomez-Hernandez
• Dunia Gomez, PHARMD
• Guillermo Antonio Gomez Jr., MSW
• Lazaro Alberto Gomez
• Raquel Gomez
• Yaskra Gomez
• Marielis Gonzalez Aguilar
• Barbara Gonzalez Almeida, RBT

• Developmental Disabilities Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.