Active NPI
Geraldine Mercedes Villasana Gomez, MD
- Diagnostic Radiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 305185
- Practice address
- 1400 Pelham Parkway South
Jacobi Medical Center
Bronx, NY 10461 - Phone
- (718) 918-5000
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 305185 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Parkway South
Jacobi Medical Center
Bronx, NY 10461
Mailing address
1400 Pelham Parkway South
Jacobi Medical Center
Bronx, NY 10461
Phone (718) 918-5000
Other practice location 1
560 1st Ave
New York, NY 10016-6402
Phone (212) 263-5230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gvillasanagomez454442@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701
1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923
150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000
159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300
16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000
160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433
227 Madison St
New York, NY 10002-7537
Phone (212) 238-7182
2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742
301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300
462 1St Ave
New York, NY 10016-9196
Phone (212) 263-7300
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100
74 Kent St
Brooklyn, NY 11222-1517
Phone (516) 365-4949
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
Hospital & facility affiliations
- NYU Langone Hospitals
- Long Island Community Hospital
- Bellevue Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Montefiore Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
50 Water St
Fl 3
New York, NY 10004
560 1st Ave
New York, NY 10016
Phone (212) 263-5362
227 Madison St
New York, NY 10002
Phone (212) 238-7000
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- gvillasanagomez840558@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1831597111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH",
"address_2": "JACOBI MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH",
"address_2": "JACOBI MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [
{
"address_1": "560 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLASANA GOMEZ",
"first_name": "GERALDINE",
"middle_name": "MERCEDES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "305185",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gvillasanagomez454442@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "560 1st Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.