Constractor
NPI 1184025058ActiveOrganization· Exclusive Provider Organization· Valley Stream, NY
Exclusive Provider Organization in Valley Stream, New York, registered in NPPES in September 2014. The authorized official on file is Guerline D. Gomez, MS, Special Education Teacher.
Overview
| NPI | 1184025058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2014 |
| Last updated in NPPES | Sep 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 824950 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Valley Stream
- 1225469505
- 1649675604