Luis Hernando Gonzalez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00438900 Issued in NJ

Practice address

7500 K Johnson Blvd
Bordentown, NJ 08505-2242

Phone

(609) 599-5433

NPI assigned

Aug 15, 2018

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.

• Life St. Francis Corporation

  • Exclusive Provider Organization
  • Bordentown, NJ
  • NPI 1386893337
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1790265254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JACOBSTOWN NEW EGYPT RD",
            "city": "WRIGHTSTOWN",
            "state": "NJ",
            "postal_code": "085622231",
            "telephone_number": "718-753-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 K JOHNSON BLVD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052242",
            "telephone_number": "609-599-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "HERNANDO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00438900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene B Gibbons, APN-BC
• Brian Hunter Goldberg, DPT
• Nicole Golden-Rigby
• Robert William Goldlust, M.D.
• William Gomez, MD
• Erin Goodwin
• Hema Gopal, DMD
• Raji P. Grewal, M.D.
• Stacy Grissett, NP
• Sharon Grosso, LCSW

• Massage Therapist in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.