Fermin P Gonzalez MD PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

205495 Issued in NY

Legal business name

FERMIN P GONZALEZ MD PC

Practice address

102-11 Roosevelt Ave
Corona, NY 11368-2331

Phone

(718) 898-5200

Fax

(718) 898-3673

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fermin P Gonzalez, MD

Title

Doctor

Phone

(718) 898-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1639377849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102-11 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-5200",
            "fax_number": "718-898-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-11 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-5200",
            "fax_number": "718-898-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERMIN P GONZALEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FERMIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-898-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "205495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "205495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria E Fee, CCC-SLP
• Shara J Feldman, PH.D.
• Karen Feng
• Wen Feng
• Fred S. Fensterer, M.D.
• Gabrielle Fernandez-Cabrera
• Carolina Fernandez
• Edward James Fernandez, LMHC
• Sarah Ferreira
• First Aid Medical, P.C.

• Adult Mental Health Clinic/Center in Corona, NY
• Providers in Corona, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.