NPIMap

Individual provider Active NPI

Marjorie M Gonzales, PC

  • Internal Medicine Physician
  • Mercerville, NJ
National Provider Identifier
1952341232
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA062781 Issued in NJ
Practice address
3469 Quakerbridge Rd
Mercerville, NJ 08619-1203
Phone
(609) 588-0158
Fax
(609) 588-5791
NPI assigned
Jun 7, 2006
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA062781 NJ Primary

Addresses

Primary practice location

3469 Quakerbridge Rd
Mercerville, NJ 08619-1203

Mailing address

1650 Route 33
Hamilton Square, NJ 08690-1708
Phone (609) 588-0158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000176 NJ Practitioner - Internal Medicine 8325083496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3469 Quakerbridge Rd
Mercerville, NJ 08619-1203
Phone (609) 588-0158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062781NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Marjorie M. Gonzales, PC Internal Medicine CurrentSince Dec 1, 2005 Accepting new patients
Myrna L. Soriano MD PA Past Accepting new patients
Yue Wang, MD, LLC Past Accepting new patients

Locations

1650 State Route 33
Trenton, NJ 08690
Phone (609) 588-0158

Interoperability endpoints

  • Direct secure messaging: mgonzales101226@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1952341232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ROUTE 33",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901708",
            "telephone_number": "609-588-0158",
            "fax_number": "609-588-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 QUAKERBRIDGE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191203",
            "telephone_number": "609-588-0158",
            "fax_number": "609-588-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARJORIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA062781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.