Provider Demographics
NPI:1225167851
Name:PINDER & GOMEZ, M.D., P.A.
Entity Type:Organization
Organization Name:PINDER & GOMEZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-731-7441
Mailing Address - Street 1:99 OLD INDIAN RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2603
Mailing Address - Country:US
Mailing Address - Phone:973-731-7441
Mailing Address - Fax:973-731-8381
Practice Address - Street 1:99 OLD INDIAN RD
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2603
Practice Address - Country:US
Practice Address - Phone:973-731-7441
Practice Address - Fax:973-731-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03388700207L00000X
NJ25MA03268300208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2899701Medicaid
459838Medicare PIN