Rosa Gonzalez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003752 Issued in NY

Practice address

114- 06 Queens Blvd
Suite 1G
Forest Hills, NY 11375

Phone

(718) 275-5512

Fax

(718) 275-5509

NPI assigned

Mar 31, 2007

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1487774469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114- 06 QUEENS BOULEVARD",
            "address_2": "SUITE 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-5512",
            "fax_number": "718-275-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114- 06 QUEENS BLVD",
            "address_2": "SUITE 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-5512",
            "fax_number": "718-275-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROSA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Jazmine Gonzalez
• Hector Luis Gonzalez
• Helen Gonzalez, MSPT
• Henry Gonzalez
• Michelle Gonzalez
• Tiffanie Gonzalez, M.S.
• Veronica Gonzalez
• Ronnie Stephanie Goodfriend, EDD
• Shashana Gooding
• Tamara Goodman, M.D.

• Medical Physician Assistant in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.