Jose Gomez-Rivera, M.D., P.C.

LBN: Jose Gomez-Rivera, M.D., P.C.
Jose Gomez-Rivera, M.D., P.C. is an health care organization with primary practice located at 221 Summer Ave , Newark NJ 07104-2626. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Jose Gomez-Rivera, M.D., P.C. can be contacted via phone (973) 482-9106, or through Gomez-Rivera, Jose via phone (973) 482-9106.

Contact Information

Primary practice address
221 Summer Ave Newark NJ 07104-2626
Phone: (973) 482-9106
Fax: (973) 482-5895
Website:
Map and Directions
Authorized official contact:
Name: Gomez-Rivera, Jose Doctor of Medicine (MD)
Phone: (973) 482-9106

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X New Jersey

Profile Details

NPI number 1114051125
LBN Legal business name Jose Gomez-Rivera, M.D., P.C.
DBA Doing business as
Authorized official Gomez-Rivera, Jose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114051125 NPPES
New Jersey MEDICAID 1295608

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