Individual provider Active NPI

Anna H. Gonzalez

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1972187003
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
429848 Issued in NY
Practice address
2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone
(718) 891-4400
Fax
(718) 484-1235
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 429848 NY Primary

Addresses

Primary practice location

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762

Mailing address

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone (718) 891-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agonzalez@cassenacare.com

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

State licenses

LicenseStateTypeSpecialty
429848NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1972187003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400",
            "fax_number": "718-484-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400",
            "fax_number": "718-484-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANNA",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "429848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agonzalez@cassenacare.com",
            "affiliation": "N",
            "address_1": "2865 Brighton 3rd St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112356762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.