Johanna Jacqueline Gonzalez Mejia, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06899700 Issued in NJ

Practice address

433 North Broad Street
Elizabeth, NJ 07208-3398

Phone

(908) 436-1002

Fax

(908) 436-1109

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: admin@mejiapediatrics.e-mdsdirect.com

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.

• Mejia Pediatrics LLC

  • Primary Care Clinic/Center
  • Elizabeth, NJ
  • NPI 1043507270
  NPD (past) Authorized official
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669565396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 NORTH BROAD STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083398",
            "telephone_number": "908-436-1002",
            "fax_number": "908-436-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 NORTH BROAD STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083398",
            "telephone_number": "908-436-1002",
            "fax_number": "908-436-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MEJIA",
        "first_name": "JOHANNA",
        "middle_name": "JACQUELINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06899700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID,",
            "identifier": "202092816",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "AH0236165301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60013229",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000296602",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "97222",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8565708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "31002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7752202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Y Gomez-Brito, CNM
• Lux Marina Gomez, LCSW
• Silvana G Gomez, MA
• Helena Coutinho Goncalves, RPH
• Gonjhealthtraspotationsorvescompany
• Judith Gonzalez Mengana
• Holly M Gonzalez, DNP, APN, FNP-C
• Leticia Gonzalez, L.C.S.W.
• Miriam Gonzalez, LCSW
• Monica Gonzalez, D.C.

• Specialist in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.