Active NPI
Susana Gonzalez, MD
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1568612703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 238874
- Practice address
- 1283 York Avenue
New York, NY 10021 - Phone
- (646) 962-4000
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 238874 | NY | Primary |
Addresses
Primary practice location
1283 York Avenue
New York, NY 10021
Mailing address
1305 York Ave FL 4
New York, NY 10021-5663
Phone (646) 962-4000
Other practice location 1
156 William St
New York, NY 10038-2609
Phone (646) 962-4000
Other practice location 2
123 William St
15th Floor
New York, NY 10038-3804
Phone (212) 227-3688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03228580 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sug9009@direct.weillcornell.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1568612703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 YORK AVE FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 YORK AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "646-962-4000"
}
],
"practiceLocations": [
{
"address_1": "156 William St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100382609",
"country_code": "US",
"telephone_number": "646-962-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 William St",
"address_2": "15th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100383804",
"country_code": "US",
"telephone_number": "212-227-3688",
"fax_number": "212-227-3368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SUSANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "238874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03228580",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.