Active NPI
Isabel Gonzalez, M.D.
- Pediatrics Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA79328
- Practice address
- 110 William St
Newark, NJ 07102-1304 - Phone
- (973) 733-7655
- Fax
- (973) 733-7617
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA79328 | NJ | Primary |
Addresses
Primary practice location
110 William St
Newark, NJ 07102-1304
Mailing address
150 Carroll Ave
Woodbridge, NJ 07095-3532
Phone (732) 602-0135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA79328 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanitas Medical Center of New Jersey PC | Current | Accepting new patients | |
| Sanitas Medical Center of New Jersey PC | Current | Accepting new patients | |
| Rwjbh Primary Care Services | Pediatrics | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
200 Williamson St
Ste 120
Elizabeth, NJ 07202
Phone (833) 617-0501
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009
3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
Organizations & group practices 3
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.
-
- Radiology Clinic/Center
- Union City, NJ
- NPI 1497267330
-
- Family Medicine Physician
- Union City, NJ
- NPI 1740792779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497779680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CARROLL AVE",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070953532",
"telephone_number": "732-602-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WILLIAM ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021304",
"telephone_number": "973-733-7655",
"fax_number": "973-733-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ISABEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA79328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.