OrganizationActive
Carlos J. Gomez MD PA
NPI 1861648180 · Exclusive Provider Organization · Bayonne, NJ
Provider details
- NPI number
- 1861648180
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Carlos Gomez, Director(201) 823-2655
- License
- MA22874 (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
95 W 50th St
Bayonne, NJ 07002-3226
Phone: (201) 823-2655
Fax: (201) 823-1036
Approximate (ZIP-level) locationGet directions
Mailing address
95 W 50th St
Bayonne, NJ 07002-3226
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2008-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.