Provider Demographics
NPI:1255935276
Name:GOMEZ, CHRISTINA EVELYN (PA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:EVELYN
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 US HIGHWAY 9 STE 5
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9215
Mailing Address - Country:US
Mailing Address - Phone:848-361-3051
Mailing Address - Fax:
Practice Address - Street 1:4074 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3315
Practice Address - Country:US
Practice Address - Phone:732-886-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMP00588400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant