Pauleena Gonzalez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

753143 Issued in NY

Practice address

12 Jay CT
Bohemia, NY 11716-3816

Phone

(631) 355-6722

NPI assigned

Jun 7, 2019

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1326607979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SWALLOW LN",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171341",
            "telephone_number": "631-398-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JAY CT",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163816",
            "telephone_number": "631-355-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PAULEENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "753143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN73431Y",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M. Giunta-Carr, LCAT, ATR-BC
• Go Forward Psychotherapy LCSW-R PLLC
• Kristen Goldfarb
• Laura M Goldschrafe, CNM, WHNP-BC
• Leslie Gonzaga Morocho, LMSW
• Laura Goodman, LCSW
• Leonard Michael Grancio, MS
• Kenneth John Grau, MS CCC SLP
• Patricia Graves, TSHH
• Eileen Patricia Grippo

• Registered Nurse in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.