Individual provider Active NPI

Lenis Marisa Gonzalez, M.D.

  • Dermatology Physician
  • Westwood, NJ
National Provider Identifier
1316145329
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08643000 Issued in NJ
Practice address
390 Old Hook Rd
Westwood, NJ 07675-2621
Phone
(201) 666-9550
NPI assigned
Jul 11, 2007
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08643000 NJ Primary

Addresses

Primary practice location

390 Old Hook Rd
Westwood, NJ 07675-2621

Mailing address

7800 Palisade Ave
North Bergen, NJ 07047-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20100111000321 NJ Practitioner - Dermatology 5294876496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westwood Dermatology and Dermatologic Surgery Group, PAGroup PAC ID 1456393180, 9 clinicians

Practice addresses (Care Compare)

390 Old Hook Rd
West Wood, NJ 07675-2600
Phone (201) 666-9550

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
99.36
Promoting interoperability
100
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions976
Removal or shaving of skin growth153
Skin biopsy815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Dermatology and Dermatologic Surgery Group, PA Dermatology CurrentSince Oct 24, 2009 Accepting new patients
Comprehensive Endocrine Care Diabetes Hormones and Metabolism PastSince Jan 9, 2006 Accepting new patients
Rosa M. Gonzalez M.D., P.a. Past Accepting new patients

Locations

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-0707

Interoperability endpoints

  • Direct secure messaging: lgonzalez189720@ahs.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1316145329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PALISADE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752621",
            "telephone_number": "201-666-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LENIS",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08643000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.