Organization Active NPI

Orlando Gonzalez, Jr., M.D., P.C.

  • Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1073808887
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
1580351 Issued in NY
Legal business name
ORLANDO GONZALEZ, JR., M.D., P.C.
Practice address
78 Todt Hill Rd
Suite 107
Staten Island, NY 10314-4513
Phone
(718) 273-6034
Fax
(718) 815-0941
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Orlando Gonzalez Jr., M.D.
Title
Physician
Phone
(718) 273-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 1580351 NY Primary

Addresses

Primary practice location

78 Todt Hill Rd
Suite 107
Staten Island, NY 10314-4513

Mailing address

78 Todt Hill Rd
Suite 107
Staten Island, NY 10314-4513
Phone (718) 273-6034

National Provider Directory

National Provider Directory

Locations

78 Todt Hill Rd
Ste 107
Staten Island, NY 10314
Phone (718) 273-6034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1073808887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "SUITE 107",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144513",
            "telephone_number": "718-273-6034",
            "fax_number": "718-815-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "SUITE 107",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144513",
            "telephone_number": "718-273-6034",
            "fax_number": "718-815-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO GONZALEZ, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-273-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "1580351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.