Organization Active NPI

Tashika Gomezs Hippity Hop Pediatric NP House Call Service PLLC

  • Home Health Agency
  • Liverpool, NY
National Provider Identifier
1881274009
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC
Practice address
3 Graham CT
Liverpool, NY 13090-3916
Phone
(315) 715-5677
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Tashika Gomez
Title
Owner
Phone
(315) 715-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3 Graham CT
Liverpool, NY 13090-3916

Mailing address

3 Graham CT
Liverpool, NY 13090-3916
Phone (315) 715-5677

Other names 1

  • Hippity Hop Peds House Call Service Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2290837Hippity Hop Peds House Call Service PLLC3 Graham Court, Liverpool, NY 13090Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1881274009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GRAHAM CT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903916",
            "telephone_number": "315-715-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRAHAM CT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903916",
            "telephone_number": "315-715-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "TASHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-715-5677"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hippity Hop Peds House Call Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.