| Jose Gomez-rivera, M.d., P.c. | |
|
221 Summer Ave Newark NJ 07104-2626 | |
| (973) 482-9106 | |
| (973) 482-5895 |
| Full Name | Jose Gomez-rivera, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 221 Summer Ave, Newark, New Jersey |
| Authorized Official Name and Position | Jose Gomez-rivera (PRESIDENT) |
| Authorized Official Contact | 9734829106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Gomez-rivera, M.d., P.c. 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0051 | Jose Gomez-rivera, M.d., P.c. 221 Summer Ave Newark NJ 07104-2626 Ph: (973) 482-9106 |
| NPI Number | 1114051125 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114051125 | NPI | - | NPPES |
| 1295608 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (New Jersey) | Primary |
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