Individual provider Active NPI

Frederick A. Gonzalez, M.D.

  • Maternal & Fetal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1841211265
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
131268 Issued in NY
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(914) 523-4227
Fax
(914) 231-9126
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 6490754-1205 UT
Maternal & Fetal Medicine Physician 207VM0101X 131268 NY Primary

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

16 Highland Ave
Tarrytown, NY 10591-4205
Phone (914) 523-4227

Other identifiers 1

IdentifierTypeStateIssuer
00843509MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6490754-1205UTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 9, 2011 Accepting new patients
Bethpage Medical, PLLC CurrentSince Jul 28, 2022 Accepting new patients
New York University CurrentSince Jun 9, 2011 Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

600 Northern Blvd
Ste 106
Great Neck, NY 11021
Phone (516) 466-4128

3333 New Hyde Park Rd
Ste 100101
New Hyde Park, NY 11042
Phone (516) 439-5300

1 Park Ave
Fl 10
New York, NY 10016
Phone (212) 404-3715

220 E 63rd St
Lbby J
New York, NY 10065
Phone (212) 308-3088

150 E 32nd St
New York, NY 10016
Phone (212) 263-8610

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1841211265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HIGHLAND AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914205",
            "telephone_number": "914-523-4227",
            "fax_number": "914-231-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "914-523-4227",
            "fax_number": "914-231-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "FREDERICK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "6490754-1205",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "131268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843509",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.