Miguel A Gonzalez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19589 Issued in NJ

Practice address

6408 Bergenline Ave
2ND Floor
West New York, NJ 07093-1660

Phone

(201) 662-1922

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hudson Dental Center PA

  • Dentist
  • West New York, NJ
  • NPI 1184254906

  General Practice

  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1750719084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931660",
            "telephone_number": "201-662-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931660",
            "telephone_number": "201-662-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "19589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Goldberg, LCSW
• Golden Holistic Treatment Center
• Ana Gonzalez, NURSE PRACTITIONER
• Daniella Maria Gonzalez, PHARMD
• Luis Alberto Gonzalez, M.D., F.A.C.C.
• Paula A Gonzalez
• Luis Anthony Goyco, MD
• Great Atlantic & Pacific Tea Co., Inc.
• Leon Greenberg, D.D.S.
• Yana Grinberg, RPH

• General Practice Dentistry in West New York, NJ
• Providers in West New York, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.