Individual provider Active NPI

Luis Alonso Gonzalez Gonzalez, M.D., M.P.H.

  • Ophthalmology Physician
  • Teaneck, NJ
National Provider Identifier
1962816843
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA10786500 Issued in NJ
Practice address
628 Cedar LN
Teaneck, NJ 07666-1704
Phone
(201) 837-7300
Fax
(201) 836-6426
NPI assigned
Jun 18, 2014
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA10786500 NJ Primary

Addresses

Primary practice location

628 Cedar LN
Teaneck, NJ 07666-1704

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180724001559 NY Practitioner - Ophthalmology 9931401171 Reassigns benefits to 1 organization
I20200527000334 NJ Practitioner - Ophthalmology 9931401171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 1, 2018 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Jun 1, 2020 Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients

Locations

50 Newark Ave
Ste 306
Belleville, NJ 07109
Phone (973) 450-0220

1005 Clifton Ave
Clifton, NJ 07013
Phone (973) 472-4114

315 Elmora Ave
Ste 202
Elizabeth, NJ 07208
Phone (908) 409-4900

182 South St
Ste 5
Morristown, NJ 07960
Phone (201) 267-3944

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

200 S Broad St
Ridgewood, NJ 07450
Phone (201) 444-0009

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

2952 Vauxhall Rd
Vauxhall, NJ 07088
Phone (908) 349-8155

1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

Interoperability endpoints

  • Direct secure messaging: lag9121@direct.weillcornell.org

Organizations & group practices 4

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 1

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1962816843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333",
            "fax_number": "908-967-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661704",
            "telephone_number": "201-837-7300",
            "fax_number": "201-836-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "LUIS",
        "middle_name": "ALONSO",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10786500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.