Active NPI
Lydia Gonzalez, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1619941978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 167781
- Practice address
- 85 West Burnside Ave
Bronx, NY 10453-4015 - Phone
- (718) 716-4400
- Fax
- (718) 228-7471
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 167781 | NY | Primary |
Addresses
Primary practice location
85 West Burnside Ave
Bronx, NY 10453-4015
Mailing address
85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1619941978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534015",
"telephone_number": "718-716-4400",
"fax_number": "718-228-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WEST BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534015",
"telephone_number": "718-716-4400",
"fax_number": "718-228-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LYDIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "167781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.