JOHANNA JACQUELINE GONZALEZ MEJIA (NPI# 1669565396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669565396 |
| Entity Type | Individual |
| Full Name | JOHANNA JACQUELINE GONZALEZ MEJIA |
| Credential | M.D. |
| Practice Address |
433 North Broad Street Elizabeth NJ 07208-3398 |
| Practice Telephone | 9084361002 |
| Practice Fax Number | 9084361109 |
| Mailing Telephone | 9084361002 |
| Mailing Fax Number | 9084361109 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA06899700 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 7752202 | 01 |
| NJ | UNIVERSITY HEALTH PLAN | 31002 | 01 |
| NJ | TAX ID, | 202092816 | 01 |
| NJ | 8565708 | 05 | |
| NJ | AMERIGROUP | 97222 | 01 |
| NJ | AMERIHEALTH | AH0236165301 | 01 |
| NJ | AMERICHOICE | 01000296602 | 01 |
| NJ | HORIZON NJ HEALTH | 60013229 | 01 |
| Street Address |
433 NORTH BROAD STREET |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
| Find all providers in zip 07208 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316200041 | Brenda Buchsbaum | Specialist | 6 Princeton Rd, Elizabeth, NJ 07208-1338 | 2012-06-18 |
| 1548418791 | Julius Butaran Salamera | Specialist | 655 Livingston St, Elizabeth, NJ 07206-1391 | 2008-08-29 |
| 1538383666 | Neighborhood Health Services Corporation | Specialist | 184 First Street, Elizabeth, NJ 07206-1000 | 2007-04-12 |
| 1174693006 | Joseph Fernandez | Specialist | 1019 E Jersey St, Elizabeth, NJ 07201-2510 | 2006-11-08 |
| 1407884927 | Amy Yurkovich | Specialist | 605 Scenery Drive, Elizabeth, PA 15037 | 2006-06-30 |
| 1770519423 | Open Mri of Union County LLC | Specialist | 315 Elmora Ave, Ste 200, Elizabeth, NJ 07208-1383 | 2006-06-24 |
| 1912964537 | Rodolfo Colaco | Specialist | 431 Elmora Ave, Elizabeth, NJ 07208-1576 | 2006-04-27 |
| 1619973260 | Neil Rosenstein | Specialist | 654 Westfield Ave, Elizabeth, NJ 07208-1326 | 2005-06-27 |
| 1801892732 | James Z. Cinberg | Specialist | 219 S Broad St, Ste 3, Elizabeth, NJ 07202-3453 | 2005-06-24 |
| 1629503131 | Rachel Blane | Specialist | 750 N Broad St, Apt 8h, Elizabeth, NJ 07208-2468 | 2017-04-23 |
| Find all providers in ELIZABETH | ||||
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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.