MELISSA MAXINE GONZALEZ (NPI# 1396286597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396286597 |
| Entity Type | Individual |
| Full Name | MELISSA MAXINE GONZALEZ |
| Credential | M.D. |
| Practice Address |
1300 Highway 35 Unit 101 Ocean NJ 07712-3533 |
| Practice Telephone | 7325316400 |
| Mailing Telephone | 7325316400 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MA10711400 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 799 Bloomfield Ave, Verona, NJ 070441367 | 9737467050 | 9732593569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222051 | Melissa Gonzalez | Nurse Practitioner | 1903 Whitewood Dr, Laredo, TX 78045-8394 | 2020-10-13 |
| 1922634344 | Melissa Gonzalez | Specialist/Technologist | 6096 Riverside Ave Apt 23, Riverside, CA 92506-2110 | 2020-03-17 |
| 1528698701 | Melissa Gonzalez | Behavior Technician | 1721 Sw 75th Avenue Rd, Miami, FL 33155-1590 | 2020-01-16 |
| 1396204657 | Melissa Gonzalez | Non-emergency Medical Transport (VAN) | 413 E Sherman St, Calexico, CA 92231-2425 | 2019-03-17 |
| 1417469768 | Melissa Gonzalez | Social Worker | 805 S Dupont Blvd, Milford, DE 19963-2232 | 2017-10-26 |
| 1861933913 | Melissa Gonzalez | Dentist | 500 Groat Aly, Phoenixville, PA 19460-4825 | 2017-03-08 |
| 1366707754 | Melissa Gonzalez | Doula | 37550 Park Ave, Willoughby, OH 44094-6053 | 2012-07-11 |
| 1548530918 | Melissa Paige Gonzalez | Licensed Practical Nurse | 112 Poplar Ridge Dr Apt 102, Young America, MN 55397-9333 | 2012-01-03 |
| 1003110578 | Melissa Victoria Gonzalez | Nurse's Aide | 307 Orange Ave Apt 82, Chula Vista, CA 91911-4171 | 2010-12-27 |
| 1548415656 | Melissa Dawn Gonzalez | Licensed Vocational Nurse | 2015 Geneva Street #47, Oceanside, CA 92054 | 2008-11-18 |
| Street Address |
1300 HIGHWAY 35 UNIT 101 |
| City | OCEAN |
| State | NJ |
| Zip Code | 07712-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
| 1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
| 1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
| 1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
| 1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
| 1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
| 1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
| 1568625028 | Herbert Stephen Smyczek | Family Medicine | 668 Grove Ave, Edison, NJ 08820-3225 | 2008-07-05 |
| 1275707721 | James G. Iannucci | Family Medicine | 24 Osborn Ln, Bridgeton, NJ 08302-4528 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.