Destiny Rosa Gonzalez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

795702 Issued in NY

Practice address

525 Convent Rd
Syosset, NY 11791-3868

Phone

(516) 921-0808

NPI assigned

Oct 17, 2022

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

Electronic endpoints 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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1386360899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CONVENT RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913868",
            "telephone_number": "516-921-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CONVENT RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913868",
            "telephone_number": "516-921-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DESTINY",
        "middle_name": "ROSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "795702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgonzalez@mercyfirst.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Convent Rd",
            "city": "Syosset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117913868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaclyn Ann Gomez, FNP
• Shelly-Ann Khadija Gomez
• Linda Carol Goncalves, LMT
• Ping Gong
• Kimberly Rae Gonzales, CCC-SLP
• Jordyn L Gonzalez
• Paulette Alekxa Gonzalez
• Wendy Gonzalez
• Kisha Goodfield
• Carol D Gordon, MD

• Registered Nurse in Syosset, NY
• Providers in Syosset, 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 Oct 17, 2022; 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.