Individual provider Active NPI

Priscila N Gonzalez, MD

  • Physical Medicine & Rehabilitation Physician
  • Tinton Falls, NJ
National Provider Identifier
1508816679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MA07243600 Issued in NJ
Practice address
2 Center PLZ
Tinton Falls, NJ 07724-9744
Phone
(732) 460-5360
Fax
(732) 460-7442
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MA07243600 NJ Primary

Addresses

Primary practice location

2 Center PLZ
Tinton Falls, NJ 07724-9744

Mailing address

2 Center PLZ
Tinton Falls, NJ 07724-9744
Phone (732) 460-5360

Other identifiers 1

IdentifierTypeStateIssuer
8968705MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000726 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Psychiatry 5092701565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Rehabilitation Consultants, LLCGroup PAC ID 6002945102, 4 clinicians

Practice addresses (Care Compare)

2 Centre PLZ
Tinton Falls, NJ 07724-9744
Phone (732) 460-5360

919 Green Grove Rd
Neptune, NJ 07753-2907
Phone (732) 922-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07243600NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physiatry Services Physical Medicine & Rehabilitation Past Accepting new patients
Consultants in Rehabilitation Medicine,LLC PastSince Jul 1, 2009 Accepting new patients

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, 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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508816679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249744",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTER PLZ",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249744",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PRISCILA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA07243600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8968705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.