Individual provider Active NPI

Aimee Lynn Gonzalez, DACM, L. AC

  • Acupuncturist
  • Freehold, NJ
National Provider Identifier
1609033398
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003799 Issued in NY
Practice address
35 Court St Ste 1C
Freehold, NJ 07728-1709
Phone
(848) 444-8358
NPI assigned
May 20, 2008
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Acupuncturist 171100000X 003799 NY Primary

Addresses

Primary practice location

35 Court St Ste 1C
Freehold, NJ 07728-1709

Mailing address

52 Eagle Rd
Marlboro, NJ 07746-1818
Phone (347) 267-0103

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

State licenses

LicenseStateTypeSpecialty
003799NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LNJS Acupuncture Acupuncturist CurrentSince Feb 27, 2022 Accepting new patients
LNJ's Acupuncture Acupuncturist CurrentSince Aug 29, 2021 Accepting new patients

Locations

35 Court St
Freehold, NJ 07728
Phone (484) 448-3588

35 Court St
Ste 1C
Freehold, NJ 07728
Phone (609) 582-4700

Organizations & group practices 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1609033398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 EAGLE RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461818",
            "telephone_number": "347-267-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COURT ST STE 1C",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281709",
            "telephone_number": "848-444-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AIMEE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DACM, L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.