Organization
JOSE GOMEZ-RIVERA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE GOMEZ-RIVERA MD (PRESIDENT)
(973) 482-9106
Entity
Organization
Contact information
Practice address
221 SUMMER AVE, NEWARK, NJ 07104-2626
(973) 482-9106
(973) 482-5895
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295608
—
NJ
Enumeration date
03/15/2007
Last updated
07/21/2022
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