Active NPI
Elizabeth Perez Gomez
- Dentist
- North Bergen, NJ
National Provider Identifier
1861954315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03096200
- Practice address
- 7733 Bergenline Ave
North Bergen, NJ 07047-7134 - Phone
- (201) 869-3335
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-81180 | FL | |
| Dentist | 122300000X | 22DI03096200 | NJ | Primary |
Addresses
Primary practice location
7733 Bergenline Ave
North Bergen, NJ 07047-7134
Mailing address
24 Jones St Apt 512
Newark, NJ 07103-3845
Phone (561) 853-5054
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-81180 | FL | MD | Behavior Technician |
| 22DI03096200 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1861954315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 JONES ST APT 512",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033845",
"telephone_number": "561-853-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477134",
"telephone_number": "201-869-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GOMEZ",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-81180",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03096200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.