Angeles Gonzalez-Prado, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD062524L Issued in PA

Practice address

602 E 21St St
Suite 400
Northampton, PA 18067-1259

Phone

(610) 262-1519

Fax

(610) 262-7125

NPI assigned

Oct 21, 2005

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: angeles.gonzalez-prado@oakstreethealth.gwaydirect.com

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1164412169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NEW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 21ST ST",
            "address_2": "SUITE 400",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671259",
            "telephone_number": "610-262-1519",
            "fax_number": "610-262-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-PRADO",
        "first_name": "ANGELES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062524L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016576820003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0514959000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P002678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "50055254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "260592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Frei
• Jessica Frontanes Pagan, MS, LAT, ATC
• Josiely Garcia, BCBA
• Sandra Gerard-Amazan, NP
• Amerfil June Gimena, PT
• Great Potentials Community Services
• Jennifer J Gross-Edwards, DPM
• Cheryl A Grover, COTA
• Natalie A Gulich, OT
• Jahangir Habib, D.P.M.

• Internal Medicine Physician in Northampton, PA
• Providers in Northampton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.