MARIO GONZALEZ, MD (NPI# 1942498985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942498985 |
| Entity Type | Organization |
| Organization Name | MARIO GONZALEZ, MD |
| Other Organization Name | PRINCETON PATHOLOGY SERVICES, PA |
| Practice Address |
111 Central Ave Newark NJ 07102-1909 |
| Mailing Address |
96 Woodhill Rd Newtown PA 18940-3012 |
| Practice Telephone | 8134907206 |
| Practice Fax Number | 8138866655 |
| Mailing Telephone | 6099243588 |
| Mailing Fax Number | 6099243581 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | DR. MARIO GONZALEZ (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8134907206 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0083151 | 05 |
| Other Name | Type Code |
|---|---|
| Princeton Pathology Services, PA | Doing Business As Name - Organization |
| Princeton Pathology, PA | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Pocono Rd, Denville, NJ 078342954 | 8134907206 | 8138866655 |
| 268 Martin Luther King Jr Blvd, Newark, NJ 071022011 | 9738775200 | |
| 350 Boulevard, Passaic, NJ 070552840 | 8134907206 | 8138866655 |
| 901 W Main St, Freehold, NJ 077282537 | 8134907206 | 8138866655 |
| Street Address |
111 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687806 | Sandhya R Makkapati | Specialist | 111 Central Ave, Newark, NJ 07102-1909 | 2005-05-23 |
| 1740892496 | Stella Monday Wangai | Nurse Practitioner | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-22 |
| 1144832932 | Sonya Wali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-21 |
| 1023620358 | Chrystina Mildred Kiwan | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1518579838 | Alicia Kovach | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1861003659 | Riyashat Kazmi | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-13 |
| 1114537610 | Kalee Larsen | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-09 |
| 1215547567 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-02 |
| 1720697238 | Sneha Bijoy | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| 1407465891 | Ruhma Ali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| 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 |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
| Find all providers in NEWARK | ||||
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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.