Irene Gomez, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014177 Issued in NY

Practice address

1209 Hempstead Tpke
Primary Healthcare Plus
Franklin Square, NY 11010

Phone

(516) 352-8300

Fax

(516) 352-8331

NPI assigned

Sep 26, 2010

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1831408855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HEMPSTEAD TPKE.",
            "address_2": "PRIMARY HEALTHCARE PLUS",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101411",
            "telephone_number": "516-352-8300",
            "fax_number": "516-352-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HEMPSTEAD TPKE",
            "address_2": "PRIMARY HEALTHCARE PLUS",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "11010",
            "telephone_number": "516-352-8300",
            "fax_number": "516-352-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gladstone, LMHC
• Marlene Glashen, ANP
• Aiysha R Glenn-Bradby, PT, CLT
• Joel M Goldenberg, DDS
• Theresa Marie Goldin
• Johanna Gonzalez, NP
• Crystal Green
• Sonja Sanchez Greggersen
• Guardone Durable Solutions LLC
• Rhea Guerrero

• Physician Assistant in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.