Active NPI
Dean Gomes, PHD
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1801652482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 026308-01
- Practice address
- 418 E 71St St
New York, NY 10021-4892 - Phone
- (212) 535-8932
- NPI assigned
- Feb 22, 2024
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | 026308-01 | NY | Primary |
Addresses
Primary practice location
418 E 71St St
New York, NY 10021-4892
Mailing address
30 Newport Pkwy Apt 605
Jersey City, NJ 07310-1506
Phone (973) 699-1985
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026308-01 | NY | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1801652482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NEWPORT PKWY APT 605",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101506",
"telephone_number": "973-699-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E 71ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214892",
"telephone_number": "212-535-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "026308-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.