Active NPI
Henry Gonzalez
- Clinical Social Worker
- New York, NY
National Provider Identifier
1013230226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057230-1
- Practice address
- 303 5TH Ave
Suite 1108
New York, NY 10016-6601 - Phone
- (914) 400-6379
- Fax
- (212) 595-3445
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032500-1 | NY | |
| Clinical Social Worker | 1041C0700X | R057230-1 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave
Suite 1108
New York, NY 10016-6601
Mailing address
303 5TH Ave
Suite 1108
New York, NY 10016-6601
Phone (914) 400-6379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R057230-1 | NY | MD | Clinical Social Worker |
| 032500-1 | NY | MD | Pharmacist |
| 057230 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1013230226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 5TH AVE",
"address_2": "SUITE 1108",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166601",
"telephone_number": "914-400-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE",
"address_2": "SUITE 1108",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166601",
"telephone_number": "914-400-6379",
"fax_number": "212-595-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "032500-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057230-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.