Active NPI
D. Gonzalez, M.S., CCC-SLP, TSSLD
- Speech-Language Pathologist
- Holtsville, NY
National Provider Identifier
1861881583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 024078-1
- Practice address
- 26 Frances Blvd
Holtsville, NY 11742-1019 - Phone
- (631) 472-9755
- NPI assigned
- Jan 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 024078-1 | NY | Primary |
Addresses
Primary practice location
26 Frances Blvd
Holtsville, NY 11742-1019
Mailing address
26 Frances Blvd
Holtsville, NY 11742-1019
Phone (631) 472-9755
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04092444 | Medicaid | NY | |
| 14056528 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CLINICAL COMPETENCE CERT. | |
| 024078-1 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024078-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1861881583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 FRANCES BLVD",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421019",
"telephone_number": "631-472-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FRANCES BLVD",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421019",
"telephone_number": "631-472-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "D.",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-19",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024078-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04092444",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CLINICAL COMPETENCE CERT.",
"identifier": "14056528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF PROFESSIONS",
"identifier": "024078-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holtsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.