Active NPIIndividual provider

Mayra F Gomez, COTA

Occupational Therapy Assistant in North Bergen, New Jersey

NPI Number1326647462
Practice location
612 72ND St Apt 2, North Bergen, NJ 07047-5471
Fax
—
Last updated
October 20, 2020

Mayra F Gomez is an Occupational Therapy Assistant based in North Bergen, NJ. Mayra F Gomez practices in North Bergen, NJ and has the professional credentials of COTA. The NPI Number for Mayra F Gomez is 1326647462 and holds a License No. 46ta09162000 (NJ). The current practice location address for Mayra F Gomez is 612 72ND St Apt 2, North Bergen, NJ 07047-5471 and can be reached out via phone at 201-491-2160.

Provider Profile Details

NPI Number
1326647462
Provider Name
Mayra F Gomez
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
612 72ND St Apt 2, North Bergen, NJ 07047-5471
Phone Number
201-491-2160
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2020
Last Update Date
October 20, 2020
Certification Date
October 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
612 72ND St Apt 2
North Bergen, NJ 07047-5471
Zip
07047-5471
Phone Number
201-491-2160
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
612 72ND St Apt 2
North Bergen, NJ 07047-5471
City
North Bergen
State
NJ
Zip
07047-5471
Phone Number
201-491-2160

License Information

License Number
46ta09162000
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mayra F Gomez, COTA?

The NPI number of Mayra F Gomez, COTA is 1326647462. It was assigned on October 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Mayra F Gomez, COTA?

Mayra F Gomez, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46ta09162000.

Where does Mayra F Gomez, COTA practice?

The practice location is 612 72ND St Apt 2, North Bergen, NJ 07047-5471. The office can be reached at 201-491-2160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326647462 directly on the NPPES registry website.

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