Active NPIIndividual provider

Dr. Ricardo A Gomez-Vasquez., MD

Family Medicine in Newark, New Jersey

NPI Number1801053715
Practice location
550 Mount Prospect Ave, Newark, NJ 07104-1530
Fax
973-482-0893
Last updated
May 4, 2020

Ricardo Antonio Gomez-Vasquez. is a Family Medicine based in Newark, NJ. Ricardo Antonio Gomez-Vasquez. practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Ricardo Antonio Gomez-Vasquez. is 1801053715 and holds a License No. 267260 (NY). The current practice location address for Ricardo Antonio Gomez-Vasquez. is 550 Mount Prospect Ave, Newark, NJ 07104-1530 and can be reached out via phone at 973-482-4697 and via fax at 973-482-0893.

Provider Profile Details

NPI Number
1801053715
Provider Name
Ricardo Antonio Gomez-Vasquez.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 Mount Prospect Ave, Newark, NJ 07104-1530
Phone Number
973-482-4697
Fax Number
973-482-0893
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Dr. Ricardo A Gomez-Vasquez, MD (Professional Name)
Provider Enumeration Date
May 19, 2008
Last Update Date
May 4, 2020
Certification Date
May 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Mount Prospect Ave
Newark, NJ 07104-1530
City
Newark
Zip
07104-1530
Phone Number
973-482-4697
Fax Number
973-482-0893
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
520 N Wood Ave
Linden, NJ 07036-4147
City
Linden
State
NJ
Zip
07036-4147
Phone Number
908-587-9300
Fax Number
908-587-1901

License Information

License Number (1)
267260
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
N7265
License State (2)
TX
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
48241
License State (3)
CT
Taxonomy (3)
Internal Medicine · 207R00000X
License Number (4)
25MA09202200
License State (4)
NJ
Taxonomy (4)
Family Medicine · 207Q00000X · 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 Dr. Ricardo A Gomez-Vasquez., MD?

The NPI number of Dr. Ricardo A Gomez-Vasquez., MD is 1801053715. It was assigned on May 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Ricardo A Gomez-Vasquez., MD?

Dr. Ricardo A Gomez-Vasquez., MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 267260.

Where does Dr. Ricardo A Gomez-Vasquez., MD practice?

The practice location is 550 Mount Prospect Ave, Newark, NJ 07104-1530. The office can be reached at 973-482-4697 (phone) or 973-482-0893 (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 1801053715 directly on the NPPES registry website.

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