Iris Marisel Gonzalez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

348762 Issued in NY

Practice address

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Phone

(845) 359-1000

Fax

(845) 680-5582

NPI assigned

Feb 9, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1336903491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EWING AVE APT B13",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774278",
            "telephone_number": "845-290-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-359-1000",
            "fax_number": "845-680-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IRIS",
        "middle_name": "MARISEL",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "348762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Giusti, LCSW
• Kieran Glacken
• Faith Godden
• Joaella E Goldberg
• Amy Goldstein, D.O.
• Alan Gotesman, MD
• Alexandra D Greenfield, RN
• Faigie Greenstein, DPT
• Jaclyn Grigoli
• Paul Neil Guerriero, M.D.

• Licensed Practical Nurse in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.