Iraida Alvarez Gonzalez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00644600 Issued in NJ

Practice address

1320 Adams St
Hoboken, NJ 07030-2370

Phone

(201) 308-6622

NPI assigned

May 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Pro Orthopaedics and Sports MedicineGroup PAC ID 1557582327, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hudson Pro Orthopaedics and Sports Medicine

  • Specialist
  • Hoboken, NJ
  • NPI 1023425279
  Medicare reassignment Care Compare group
• Hudson Orthopedics PLLC

  • Specialist
  • New York, NY
  • NPI 1568204097
  Medicare reassignment
• New York Metropolitan Orthopaedics and Spine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • North Bergen, NJ
  • NPI 1326714148
  NPD (past)
• Roman Isaac MD PLLC

  • Orthopaedic Surgery Physician
  • Hoboken, NJ
  • NPI 1467819540
  NPD (past)

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

• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1144896572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 7TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075242633",
            "telephone_number": "201-515-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ADAMS ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302370",
            "telephone_number": "201-308-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ GONZALEZ",
        "first_name": "IRAIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "026673",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00644600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Alpert-Rathauser, MD
• Jayson Alphonsus
• Vivian Ottavia Altamura, PH.D.
• Anthony Altilio
• Robin Gail Altschul
• Carla Alvarez-Gould, MSW, LCSW
• Rebekah Joy Amarini, MD
• Monica Sara Amato
• American Endometriosis PC
• Assaf Amos, LCSW, LCADC

• Surgical Physician Assistant in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.