Active NPI
Joe A Gorelick, N.P
- Nurse Practitioner
- San Jose, CA
National Provider Identifier
1811061369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11167
- Practice address
- 2420 Samaritan Dr
San Jose, CA 95124-3907 - Phone
- (408) 369-5600
- Fax
- (408) 369-5625
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11167 | CA | Primary |
Addresses
Primary practice location
2420 Samaritan Dr
San Jose, CA 95124-3907
Mailing address
2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18988 Cox Ave
Suite B
Saratoga, CA 95070-4154
Phone (408) 253-4407
2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.34 of 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- joseph.gorelick@schweigerderm.emadirect.md
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.
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- NPI 1871909804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1811061369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243907",
"telephone_number": "408-369-5600",
"fax_number": "408-369-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243907",
"telephone_number": "408-369-5600",
"fax_number": "408-369-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELICK",
"first_name": "JOE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "11167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.