Active NPI
Lucio Cesar Gonzalez, FNP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403419 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M and M Psychiatric Nurse Practitioner Services PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Downtown Bronx Medical Associates PC | Current | 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
- lgonzalez873398@nychhc.direct-ci.com
- 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1336856467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.