Individual provider Active NPI

Joaquin Emilio Gonzalez-Melquiades, PA-C

  • Physician Assistant
  • Blairstown, NJ
National Provider Identifier
1679654099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MP00415 Issued in NJ
Practice address
3 McConachy Lane
Blairstown, NJ 07825
Phone
(908) 922-9200
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MP00415 NJ Primary

Addresses

Primary practice location

3 McConachy Lane
Blairstown, NJ 07825

Mailing address

3 MC Conachy Lane
Blairstown, NJ 07825
Phone (908) 922-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000242 NJ Practitioner - Physician Assistant 5395921381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Phone (973) 663-1300

210 Route 94
Columbia, NJ 07832-2764
Phone (908) 362-9285

706 Bergen Ave
Suite 2
Jersey City, NJ 07306-4802
Phone (201) 464-8888

781 State Route 15 S
Suite B
Lake Hopatcong, NJ 07849-2339
Phone (862) 299-3100

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP00415NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 5, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joaquin.gonzalez-melquiades.1@18614.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679654099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MC CONACHY LANE",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "07825",
            "telephone_number": "908-922-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MCCONACHY LANE",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "07825",
            "telephone_number": "908-922-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-MELQUIADES",
        "first_name": "JOAQUIN",
        "middle_name": "EMILIO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP00415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairstown, NJ

Sources for this page

Verify at the official NPI Registry.