Carlos J. Gomez MD PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MA22874 Issued in NJ

Legal business name

CARLOS J. GOMEZ MD PA

Practice address

95 W 50TH St
Bayonne, NJ 07002-3226

Phone

(201) 823-2655

Fax

(201) 823-1036

NPI assigned

Aug 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlos J. Gomez, M.D.

Title

Director

Phone

(201) 823-2655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1861648180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W 50TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023226",
            "telephone_number": "201-823-2655",
            "fax_number": "201-823-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W 50TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023226",
            "telephone_number": "201-823-2655",
            "fax_number": "201-823-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS J. GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-823-2655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "MA22874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.