Antero B. Gonzales M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA62026 Issued in NJ

Legal business name

ANTERO B. GONZALES M.D.

Practice address

35 Beaverson Blvd
Suite 2B
Brick, NJ 08723-7812

Phone

(732) 920-4666

Fax

(732) 920-5387

NPI assigned

Oct 26, 2007

Organization subpart

No

Name

Dr. Antero Gonzales, M.D.NPI 1245322866

Title

Medical Physician

Phone

(732) 920-4666

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antero B Gonzales, M.D.

  • Internal Medicine Physician
  • Freehold, NJ
  • NPI 1245322866

  Internal Medicine

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2007.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1386823367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 2B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-920-4666",
            "fax_number": "732-920-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 2B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-920-4666",
            "fax_number": "732-920-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTERO B. GONZALES M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ANTERO",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "732-920-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN GROUP #",
            "identifier": "029654",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Anderson
• Andrew L. Simon M.D., F.a.C.S, P.a.
• Jennifer Lynn Andrews, C.M.T
• Nina Vaskina Andreyev, M.D.
• Marie Anifowoshe
• Pamela L. Anthony, MPT, ATC
• Susan B Anthony
• Christle Antwi-Buosiako, MD
• Kayla Anzalone, CRNA
• Xue Ao, MD

• All providers in Brick, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.