MARIO SEGUNDO GONZALEZ (NPI# 1952414476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952414476 |
| Entity Type | Individual |
| Full Name | MARIO SEGUNDO GONZALEZ |
| Credential | MD FCAP FASCP |
| Practice Address |
111 Central Ave Newark NJ 07102 |
| Mailing Address |
20 Nassau St Suite 216 Princeton NJ 08542-4509 |
| Practice Telephone | 9738775200 |
| Practice Fax Number | 9738772468 |
| Mailing Telephone | 6099243588 |
| Mailing Fax Number | 6099243581 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA07983800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 095128 | 05 | |
| RI | MG87904 | 05 | |
| NJ | 0081451 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792795 | Mario Alberto Gonzalez | Family Medicine | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2017-10-31 |
| 1104335249 | Mario Atilio Gonzalez | Private Vehicle | 3710 Aranda Flds, Converse, TX 78109-3543 | 2017-09-20 |
| 1376077099 | Mario A Gonzalez | Private Vehicle | 5566 26th Ave Sw, Apt B, Naples, FL 34116-7553 | 2017-04-19 |
| 1083013320 | Mario Cesar Gonzalez | Dental Assistant | 26941 Rainbow Glen Dr Unit 753, Santa Clarita, CA 91351-5524 | 2014-08-21 |
| 1487066395 | Mario Gonzalez | Social Worker | 15321 Sdixie Hwy, Ste 311, Miami, FL 33157 | 2014-05-27 |
| 1467689497 | Mario David Gonzalez | Physical Therapist | 155 Zorsal Street, Urb. Los Montes, Dorado, PR 00646 | 2009-06-17 |
| 1871645572 | Mario F. Gonzalez | Chiropractor | 621 Madison St Ste C, Evanston, IL 60202-2203 | 2007-01-16 |
| 1396377925 | Mario Roberto Gonzalez | Nurse Practitioner | 18300 Houston Methodist Dr, Houston, TX 77058-6302 | 2020-02-11 |
| 1073012928 | Mario Carlos Gonzalez | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-02-06 |
| 1063933968 | Mario Garcia Gonzalez | Physician Assistant | 601 W Terrell Ave, Fort Worth, TX 76104-3243 | 2017-06-29 |
| Street Address |
111 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1750499646 | Howayda A Moniem | Pathology | 495 N 13th Street, Columbus Hospital, Newark, NJ 07107-1397 | 2006-08-29 |
| 1053335976 | Xinlai Sun | Pathology | 201 Lyons Ave # L-4, Newark, NJ 07112-2027 | 2006-07-26 |
| 1851397392 | Leonard I Japko | Pathology | 4755 Ogletown Stanton Road, Newark, DE 19718-0001 | 2005-06-21 |
| 1184990624 | Steven Todd Kramer | Pathology | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2012-03-29 |
| 1023319332 | Jie-gen Jiang | Pathology | 150 Bergen Street, Newark, NJ 07103 | 2010-11-03 |
| 1720397250 | Ming Zhang | Pathology | 4755 Stanton Ogletown Road, Newark, DE 19718-0001 | 2010-10-01 |
| 1689991663 | Phoebe Jeanette Holmes | Pathology | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2010-04-29 |
| 1881854784 | Norman Ende | Pathology | 185 S Orange Ave, Room C-501, Newark, NJ 07103-2757 | 2008-06-13 |
| 1508025164 | Valerie A Fitzhugh | Pathology | 150 Bergen St, E156, Newark, NJ 07103-2496 | 2008-06-08 |
| 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.