Fausto A Gonzalez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229968-1 Issued in NY

Practice address

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020

Phone

(718) 323-5500

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

One Stop Medical Care PCGroup PAC ID 9335458066, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGDFAD/Endpoint/FGDFAD
• FHIR API: https://fhir4.healow.com/fhir/r4/FAHCBA/Endpoint/FAHCBA
• FHIR API: https://fhir4.healow.com/fhir/r4/HHEEAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GHDGAA/Endpoint/GHDGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One Stop Medical Care PC

  • Internal Medicine Physician
  • South Ozone Park, NY
  • NPI 1811381973

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Fort Washington Medical Office PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1205870078

  Internal Medicine, NY

  Medicare reassignment NPD Authorized official
• Junction Medical Office, P.C.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1538306352

  Internal Medicine, NY

  Medicare reassignment NPD Authorized official
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591

  NY

  Medicare reassignment Care Compare group NPD
• Jerome Medical Office, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1982811832

  Internal Medicine, NY

  Medicare reassignment NPD
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1124087713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-9700",
            "fax_number": "718-323-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "FAUSTO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229968-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2590034",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "286588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle George
• Ghansham Singh,Physician,PC
• Narisa Girdhari, LMSW
• Gity Pro Group
• Cynthia Glover
• Jennifer Gonzalez
• Danielle Marie Gooden, LPN
• Shalini K Gopaul, R.N.
• Priscillia Ann Gore, LMSW
• Anne Green, PHARMACIST

• All providers in South Ozone Park, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.