Active NPIIndividual provider

Mr. Bienvenido Gonzalez, PA

Physician Assistant, Medical in East Orange, New Jersey

NPI Number1871552109
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
973-395-7016
Last updated
July 8, 2007

Bienvenido Gonzalez is a Physician Assistant, Medical based in East Orange, NJ. Bienvenido Gonzalez practices in East Orange, NJ and has the professional credentials of PA. The NPI Number for Bienvenido Gonzalez is 1871552109 and holds a License No. 25MP00004300 (NJ). The current practice location address for Bienvenido Gonzalez is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7016.

Provider Profile Details

NPI Number
1871552109
Provider Name
Bienvenido Gonzalez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7016
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7016
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
33 Beaumont Pl
Newark, NJ 07104-1611
City
Newark
State
NJ
Zip
07104-1611
Phone Number
973-483-3722

License Information

License Number
25MP00004300
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Bienvenido Gonzalez, PA?

The NPI number of Mr. Bienvenido Gonzalez, PA is 1871552109. It was assigned on March 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Bienvenido Gonzalez, PA?

Mr. Bienvenido Gonzalez, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00004300.

Where does Mr. Bienvenido Gonzalez, PA practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871552109 directly on the NPPES registry website.

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