Lupe Amy Gonzalez, R.P.T. L.AC. R.N.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00024400 Issued in NJ

Practice address

1099 Bloomfield Ave Ste 201
West Caldwell, NJ 07006

Phone

(973) 227-7277

NPI assigned

Oct 11, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841388162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE STE 201",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067129",
            "telephone_number": "973-227-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE STE 201",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-227-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUPE",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "R.P.T. L.AC. R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR06203400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00024400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00409000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "643392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Goldberg, MA, LAC
• Patrice Michelle Goldberg, LCSW
• Laura Goldfinch, DPT
• Iris Gilen Maravilla Gomez, NP-C
• Salvador Gonzalez Ruiz, DC
• Kyrsten Grabinsky, MS, OTR/L
• David Grancagnolo
• Grateful Pathways
• Lindsey Yve Greenfield, PSY.D.
• Greg Gallant DMD LLC (Gallant Dental Care)

• Acupuncturist in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.