MEDICARE: DR. NOAH GOMEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	332756	NY

General Provider Information

NPI Number	:	1205416146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOAH GOMEZ MD

Provider Business Mailing Address
First Line	:	1880 E RIDGE RD STE 8
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14622-2450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 E RIDGE RD STE 8
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14622-2450
Country	:	US
Telephone Number	:	585-363-5040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	06/19/2026

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