Gomez, John Paul

Gomez, John Paul is an sole proprietor health care provider with primary practice located at 10 Benton Ave , Middletown NY 10940-5177. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gomez, John Paul can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
10 Benton Ave Middletown NY 10940-5177
Phone: (845) 563-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 708063 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402672 New York

Profile Details

NPI number 1477078095
LBN Legal business name Gomez, John Paul
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2017
Last updated Jul 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477078095 NPPES
New York MEDICAID 04864013

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