OrganizationActive
Wellcare Tccm
NPI 1982245932 · Internal Medicine Physician · Hackensack, NJ
Provider details
- NPI number
- 1982245932
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kaitlyn Gomez, Owner(201) 686-8734
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Moore St
Hackensack, NJ 07601-7506
Phone: (201) 686-8734
Street-level locationGet directions
Mailing address
250 Moore St
Hackensack, NJ 07601-7506
Registry dates
- Enumerated
- 2019-10-01
- Last updated
- 2019-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.