MEDICARE: DR. RICARDO ANTONIO GOMEZ-VASQUEZ. 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	207Q00000X	Family Medicine Physician	267260	NY
2	207Q00000X	Family Medicine Physician	N7265	TX
3	207R00000X	Internal Medicine Physician	48241	CT
4	207Q00000X	Family Medicine Physician	25MA09202200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25MA09202200	OTHER	NJ	NJ MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	267260	OTHER	NY	NEW YORK MEDICAL LICENSE
4	48241	OTHER	CT	CONNECTICUT MEDICAL LICENCE
5	N7265	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1801053715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO ANTONIO GOMEZ-VASQUEZ. MD

Provider Business Mailing Address
First Line	:	520 N WOOD AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-4147
Country	:	US
Telephone Number	:	908-587-9300
Fax Number	:	908-587-1901

Provider Business Practice Location Address
First Line	:	550 MOUNT PROSPECT AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-1530
Country	:	US
Telephone Number	:	973-482-4697
Fax Number	:	973-482-0893

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

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/04/2020

Similar Medicare Providers

1104818129 — JOSE R GOMEZ MD
Practice Location Address:

550 MOUNT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-482-4697
Practice Fax: 973-482-0893

1528050531 — JULIA F PONS MD
Practice Location Address:

550 MOUNT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-482-4697
Practice Fax: 973-482-0893

1154473866 — RICHARD W CROWLEY DDS
Practice Location Address:

566 MT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-485-5334
Practice Fax: 973-484-9561

1356226344 — AMOR BEHAVIORAL CARE LLC
Practice Location Address:

538 MOUNT PROSPECT AVE
NEWARK, NJ
07104-1530

Practice Phone: 973-484-9579
Practice Fax:

1659998805 — ALEJANDRA LAZARO
Practice Location Address:

35982 BURNING TREE DR
NEWARK, CA
94560-1530

Practice Phone: 510-366-6912
Practice Fax:

1598478679 — BOUNDLESS CHIROPRACTIC LLC
Practice Location Address:

696 HOWELL DR
NEWARK, OH
43055-1530

Practice Phone: 740-525-1566
Practice Fax:

Directions to “ DR. RICARDO ANTONIO GOMEZ-VASQUEZ. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.