ROSA GOMEZ DE JESUS (NPI# 1922273911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922273911 |
| Entity Type | Individual |
| Full Name | ROSA GOMEZ DE JESUS |
| Credential | M.D. |
| Practice Address |
400 N 17th St Suite 202 Allentown PA 18104-5052 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 4846642450 |
| Practice Fax Number | 4846642458 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD451361 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
400 N 17TH ST SUITE 202 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760783716 | Marie H Popp | Nurse Practitioner | 400 N 17th St, Suite 201, Allentown, PA 18104-5052 | 2010-11-08 |
| 1801032800 | Ravindra Arvindkumar Shah | Ophthalmology | 400 N 17th St, Suite 100, Allentown, PA 18104-5052 | 2008-12-21 |
| 1871761379 | Harry W Buchanan Iv Md PC | Ophthalmology | 400 N 17th St, Allentown, PA 18104-5052 | 2008-02-19 |
| 1215112198 | Michele M Felix | Social Worker | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2008-01-09 |
| 1881897759 | Ranita E Kuryan | Pediatrics | 400 N 17th St, Allentown, PA 18104-5052 | 2007-06-07 |
| 1184825226 | Valerie Joyce Lewis | Pediatrics | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2007-05-29 |
| 1144434291 | Laurissa R Kashmer | Pediatrics | 400 N 17th St, Suite 201, Allentown, PA 18104-5052 | 2007-05-09 |
| 1174668768 | Harry W Buchanan Iv Md | Eyewear Supplier (Equipment, not the service) | 400 N 17th St, Suite 200, Allentown, PA 18104-5052 | 2007-02-21 |
| 1154473668 | Lehigh Valley Physician Group | Pediatrics | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2007-01-17 |
| 1538246756 | Harry W Buchanan Iv | Ophthalmology | 400 N 17th St, Suite 200, Allentown, PA 18104 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275585762 | Children Healthcare | Pediatrics | 15 17 Pond Road, Allentown, PA 18104 | 2006-05-16 |
| 1972573129 | Tayyaba Saeed Jan | Pediatrics | 7615 Tilghman St, Allentown, PA 18106-9345 | 2006-01-23 |
| 1174013395 | St. Luke's Physician Group Inc. | Pediatrics | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-14 |
| 1154473668 | Lehigh Valley Physician Group | Pediatrics | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2007-01-17 |
| 1154316651 | Colleen A Cooper | Pediatrics | 1611 Pond Rd, Suite 400, Allentown, PA 18104-2258 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
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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.