Jose a. Gonzalez DC PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

XOO8699-1 Issued in NY

Legal business name

JOSE A. GONZALEZ DC PC

Practice address

1805 5TH Ave
Suite 2
Bay Shore, NY 11706-1761

Phone

(631) 219-1706

Fax

(631) 922-8878

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jose A Gonzalez, DC

Title

President

Phone

(631) 219-1706

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetrio C Cabrera, P.T.

  • Specialist
  • Bay Shore, NY
  • NPI 1609958321
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1972815397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAYFIELD DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511704",
            "telephone_number": "631-219-1706",
            "fax_number": "631-922-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 5TH AVE",
            "address_2": "SUITE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061761",
            "telephone_number": "631-219-1706",
            "fax_number": "631-922-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. GONZALEZ DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-219-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "XOO8699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Lynn Jones, PA-C
• Shaniqua B Jones, LPN
• Stephaine Jones, DOULA, CLC
• Tanta A Jones
• Joscelyn Travers
• Brianna Josefak
• Joseph Tamburrino
• Danny Joseph, DDS
• Jojymol Joseph
• Kyle Joyner

• Clinic/Center in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.