Active NPI
Tashika Gomezs Hippity Hop Pediatric NP House Call Service PLLC
- Home Health Agency
- Liverpool, NY
National Provider Identifier
1881274009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2290837 | Hippity Hop Peds House Call Service PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.