MIGUEL GONZALEZ NURSE PRACTITIONER NPI 1558918979

NPI Information

NPI: 1558918979
Provider Name: MIGUEL GONZALEZ, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
718 TEANECK RD
TEANECK, NJ
ZIP 07666
Phone: (201) 833-3000
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Miguel Gonzalez, NURSE PRACTITIONER is an adult health nurse practitioner in Teaneck, NJ with 5 years of experience. Miguel Gonzalez, NURSE PRACTITIONER NPI is 1558918979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

718 TEANECK RD
TEANECK, NJ
ZIP 07666-245
Phone: (201) 833-3000

The NPI 1558918979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	26NJ00962200	NEW JERSEY	No
2	363LA2200X	Nurse Practitioner	Adult Health	26NJ00962200	NEW JERSEY	Yes
3	363LG0600X	Nurse Practitioner	Gerontology	26NJ00962200	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790396281	OTHER	NEW JERSEY	TITAN HEALTH GROUP NPI#
2	0702714	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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