Mario Ramon Gomez, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0653421 Issued in NY

Practice address

1963 Grand Concourse
605West 177Street,New York, Ny10033, Suite LL
Bronx, NY 10453-4929

Phone

(917) 375-6275

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mario Ramon Gomez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1881759900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MAPLE AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014503",
            "telephone_number": "917-375-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 GRAND CONCOURSE",
            "address_2": "605WEST 177STREET,NEW YORK, NY10033, SUITE LL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534929",
            "telephone_number": "917-375-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARIO",
        "middle_name": "RAMON",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0653421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "GOMEZ",
            "middle_name": "RAMON",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luis Alfonso Gomez Jr., LMSW
• Luis Miguel Gomez
• Mabel Marbella Gomez, MA IN MHC PERMIT
• Magnolia Gomez, SP ED
• Maria Fernanda Gomez, MD
• Marlene Gomez, MS, CF-SLP, TSSLD
• Nancy Gomez
• Tashorn Gomez, DDS
• Yanelfi Gomez
• Jocarie Gonell, FNP

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.