Individual provider Active NPI

Lucio Cesar Gonzalez, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1447636121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342355 Issued in NY
Practice address
HH Lincoln . 234 E 149TH Street
Psychiatry Department. Room 7B-100
Bronx, NY 10451
Phone
(718) 579-5270
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342355 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403419 NY

Addresses

Primary practice location

HH Lincoln . 234 E 149TH Street
Psychiatry Department. Room 7B-100
Bronx, NY 10451

Mailing address

234 E 149TH St Psychiatry
Room 7B-100
Bronx, NY 10451-5504
Phone (718) 579-5270

Other practice location 1

119 W 124th St
New York, NY 10027-4920
Phone (212) 865-2010 ext. 7222

Other practice location 2

720 Fort Washington Ave Apt 5B
New York, NY 10040-3725
Phone (212) 481-2042

Other practice location 3

720 Fort Washington Ave Apt 5B
New York, NY 10040
Phone (212) 481-2042

Other practice location 4

720 Fort Washington Ave Apt 5B
New York, NY 10040
Phone (212) 481-2042

Other practice location 5

720 Fort Washington Ave Apt 5B
New York, NY 10040
Phone (212) 481-2042

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729002664 NY Practitioner - Nurse Practitioner 2466788435 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403419NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M and M Psychiatric Nurse Practitioner Services PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jun 11, 2019 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

495 Flatbush Ave
Ste 33
Brooklyn, NY 11225
Phone (516) 299-8698

Interoperability endpoints

  • Direct secure messaging: lgonzalez873398@nychhc.direct-ci.com
  • Direct secure messaging: lucio.gonzalez.1@24989.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447636121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST PSYCHIATRY",
            "address_2": "ROOM 7B-100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HH LINCOLN . 234 E 149TH STREET",
            "address_2": "PSYCHIATRY DEPARTMENT. ROOM 7B-100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-579-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W 124th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274920",
            "country_code": "US",
            "telephone_number": "212-865-2010 x7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Fort Washington Ave Apt 5B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100403725",
            "country_code": "US",
            "telephone_number": "212-481-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Fort Washington Ave Apt 5B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10040",
            "country_code": "US",
            "telephone_number": "212-481-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Fort Washington Ave Apt 5B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10040",
            "country_code": "US",
            "telephone_number": "212-481-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Fort Washington Ave Apt 5B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10040",
            "country_code": "US",
            "telephone_number": "212-481-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUCIO",
        "middle_name": "CESAR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342355",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.