MS. IRIS GILEN MARAVILLA GOMEZ (NPI# 1831512409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831512409 |
| Entity Type | Individual |
| Full Name | MS. IRIS GILEN MARAVILLA GOMEZ |
| Credential | NP-C |
| Practice Address |
459 Passaic Ave West Caldwell NJ 07006-7457 |
| Practice Telephone | 9732763026 |
| Practice Fax Number | 9732767881 |
| Mailing Telephone | 9732763026 |
| Mailing Fax Number | 9732767881 |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2014-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00482400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
459 PASSAIC AVE |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 07006-7457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376533554 | Lutheran Social Ministries At Crane's Mill, Inc. | Skilled Nursing Facility | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2005-10-27 |
| 1851938484 | Lissamma Francis | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2019-12-02 |
| 1568974970 | Barbara Ahern | Internal Medicine | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-26 |
| 1629588157 | Anitha Abraham | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-11 |
| 1023533510 | Siddhita Parekh | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-08-07 |
| 1952775025 | Marcela K Jimenez | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2015-11-30 |
| 1811391170 | Jason Peter Cecilio | Physical Therapy Assistant | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-10-15 |
| 1043625643 | Rebecca Kojchev | Speech-Language Pathologist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-23 |
| 1083027452 | Corey Condon | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2014-06-03 |
| 1730447392 | Susan Guydish | Occupational Therapist | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629588157 | Anitha Abraham | Nurse Practitioner | 459 Passaic Ave, West Caldwell, NJ 07006-7457 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST CALDWELL |
| Zip Code | 07006 |
Please comment or provide details below to improve the information on MS. IRIS GILEN MARAVILLA GOMEZ.
| 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.