Individual provider · Type 1 NPI
Jennifer Gomez, NP
Pediatric Nurse Practitioner · New York, NY
NPI number
1972171015
Active
Practice location
1468 Madison Ave
New York, NY 10029-6508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 383233 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383233 (NY) |
| Registered Nurse | 163W00000X | 698967 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972171015
Jennifer Gomez, NP's National Provider Identifier is 1972171015, issued on Jun 15, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 29, 2026.