Active NPI
Maricella F Gonzalez
- Specialist
- Dorchester, MA
National Provider Identifier
1477295608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 895 Blue Hill Ave
Dorchester, MA 02124-2902 - Phone
- (617) 506-8188
- NPI assigned
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
895 Blue Hill Ave
Dorchester, MA 02124-2902
Mailing address
1171 Boylston St Apt 8
Boston, MA 02215-3512
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Mgonzalez@cmhwc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1477295608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 BOYLSTON ST APT 8",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242902",
"telephone_number": "617-506-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARICELLA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Mgonzalez@cmhwc.com",
"affiliation": "N",
"address_1": "1171 Boylston St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "022153544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.