GOMEZ NEUROLOGY (NPI# 1609260702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609260702 |
| Entity Type | Organization |
| Organization Name | GOMEZ NEUROLOGY |
| Other Organization Name | GOMEZ NEUROLOGY, PLLC |
| Practice Address |
110 Wolf Rd Albany NY 12205-1244 |
| Mailing Address |
1252 Keyes Ave Schenectady NY 12309-5728 |
| Practice Telephone | 5186502090 |
| Practice Fax Number | 8554206025 |
| Mailing Telephone | 5182850782 |
| Mailing Fax Number | 8554206025 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. FRANCISCO JAVIER GOMEZ (PRESIDENT) |
| Authorized Official Telephone | 5182850782 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
473187 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gomez Neurology, PLLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GOMEZ NEUROLOGY, PLLC | Cioffi Slezak Wildgrube P.C., 2310 Nott Street East, Ste One, Niskayuna, New York 12309 |
| Street Address |
110 WOLF RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245287234 | Francisco Javier Gomez | Psychiatry & Neurology | 110 Wolf Rd, Albany, NY 12205-1244 | 2006-05-27 |
| 1306938733 | Albert Clarke Darlington | Preventive Medicine | 110 Wolf Rd, Albany, NY 12205-1244 | 2006-09-30 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.