Individual provider Active NPI

Jeannie Martinez-Gonzales, RT(R)

  • Radiography Radiologic Technologist
  • Irvington, NJ
National Provider Identifier
1669317715
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
638052 Issued in NJ
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
638052NJMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.