Individual provider Active NPI

Efrain Gonzalez, M.D.

  • Infectious Disease Physician
  • Bronx, NY
National Provider Identifier
1407872211
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
227212 Issued in NY
Practice address
4234 Bronx Blvd FL 2
Bronx, NY 10466-2668
Phone
(347) 341-4300
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227212 NY
Infectious Disease Physician 207RI0200X 227212 NY Primary

Addresses

Primary practice location

4234 Bronx Blvd FL 2
Bronx, NY 10466-2668

Mailing address

4234 Bronx Blvd FL 2
Bronx, NY 10466-2668
Phone (347) 341-4300

Other identifiers 1

IdentifierTypeStateIssuer
02674293MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051027000172 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 8729005905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227212NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 10, 2023 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Sep 10, 2023 Accepting new patients
Bronxcare Health System Infectious Disease CurrentSince Feb 11, 2013 Accepting new patients
Bronxcare Health System CurrentSince Feb 11, 2013 Accepting new patients
Bronxcare Health System Internal Medicine Current Accepting new patients
Arizona Oncology Associates PC Internal Medicine PastSince Jan 28, 2025 Accepting new patients
Radiology LTD., LLC PastSince Sep 1, 2024 Accepting new patients

Locations

1650 Selwyn Ave
Fl 9
Bronx, NY 10457
Phone (718) 775-0656

4234 Bronx Blvd
Fl 2
Bronx, NY 10466
Phone (347) 341-4300

1650 Selwyn Ave
Fl 10
Bronx, NY 10457
Phone (718) 960-1234

4234 Bronx Blvd
Bronx, NY 10466
Phone (347) 341-4300

1650 Grand Concourse
Fl 7
Bronx, NY 10457
Phone (718) 518-5131

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1000 10th Ave
Ste 2T
New York, NY 10019
Phone (212) 636-3600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: egonzalezj@montefioredirect.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1407872211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 BRONX BLVD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662668",
            "telephone_number": "347-341-4300",
            "fax_number": "718-960-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 BRONX BLVD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662668",
            "telephone_number": "347-341-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227212",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "227212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02674293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.