Active NPIIndividual provider

Sully G Gomez, CPT

Technician, Pathology, Phlebotomy in Clifton, New Jersey

NPI Number1467318147
Practice location
1114 Main Ave Unit 13, Clifton, NJ 07015-7002
Fax
862-416-2571
Last updated
December 26, 2025

Sully Gisel Gomez is a Technician, Pathology, Phlebotomy based in Clifton, NJ. Sully Gisel Gomez practices in Clifton, NJ and has the professional credentials of CPT. The NPI Number for Sully Gisel Gomez is 1467318147 and holds a License No. 0425516250SG (NJ). The current practice location address for Sully Gisel Gomez is 1114 Main Ave Unit 13, Clifton, NJ 07015-7002 and can be reached out via phone at 201-922-0446 and via fax at 862-416-2571.

Provider Profile Details

NPI Number
1467318147
Provider Name
Sully Gisel Gomez
Credential
CPT
Provider Entity Type
Individual
Gender
Female
Address
1114 Main Ave Unit 13, Clifton, NJ 07015-7002
Phone Number
201-922-0446
Fax Number
862-416-2571
Primary Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2025
Last Update Date
December 26, 2025
Certification Date
December 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1114 Main Ave Unit 13
Clifton, NJ 07015-7002
Zip
07015-7002
Phone Number
201-922-0446
Fax Number
862-416-2571
Clifton, NJ 07015Get directions →

Provider Business Mailing Address Details

Address
1114 Main Ave Unit 13
Clifton, NJ 07015-7002
City
Clifton
State
NJ
Zip
07015-7002
Phone Number
201-922-0446
Fax Number
862-416-2571

License Information

License Number
0425516250SG
License State
NJ
Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X · 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 Sully G Gomez, CPT?

The NPI number of Sully G Gomez, CPT is 1467318147. It was assigned on December 26, 2025 and is currently active in the NPPES registry.

What is the specialty of Sully G Gomez, CPT?

Sully G Gomez, CPT is registered under the primary taxonomy Technician, Pathology, Phlebotomy (code 246RP1900X), licensed in NJ under license number 0425516250SG.

Where does Sully G Gomez, CPT practice?

The practice location is 1114 Main Ave Unit 13, Clifton, NJ 07015-7002. The office can be reached at 201-922-0446 (phone) or 862-416-2571 (fax).

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 1467318147 directly on the NPPES registry website.

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