Active NPI
Jeannie Martinez-Gonzales, RT(R)
- Radiography Radiologic Technologist
- Irvington, NJ
National Provider Identifier
1669317715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 638052
- Practice address
- 26 Laventhal Ave
Irvington, NJ 07111-2842 - Phone
- (646) 358-6292
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 638052 | NJ | Primary |
Addresses
Primary practice location
26 Laventhal Ave
Irvington, NJ 07111-2842
Mailing address
26 Laventhal Ave
Irvington, NJ 07111-2842
Phone (646) 358-6292
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
| License | State | Type | Specialty |
|---|---|---|---|
| 638052 | NJ | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMG Imaging | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1669317715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LAVENTHAL AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112842",
"telephone_number": "646-358-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 LAVENTHAL AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112842",
"telephone_number": "646-358-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-GONZALES",
"first_name": "JEANNIE",
"name_prefix": "Mrs.",
"credential": "RT(R)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": "NJ",
"license": "638052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.