EVELYN GONZALEZ M.D. NPI 1619905163

NPI Information

NPI: 1619905163
Provider Name: EVELYN GONZALEZ, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
3 COOPER PLZ
SUITE200
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2001
Get Directions

Evelyn Gonzalez, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Camden, NJ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Evelyn Gonzalez, M.D. NPI is 1619905163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 COOPER PLZ
SUITE200
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2001
Fax: (856) 963-2499

The NPI 1619905163 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 6/30/2006 and was last updated on 3/22/2021.

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	208000000X	Pediatrics		07070	PUERTO RICO	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	25MA08873300	NEW JERSEY	Yes
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	07070	PUERTO RICO	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	2230-5	OTHER	PUERTO RICO	PROSSAM PROVIDER
2	80190 GO	OTHER	PUERTO RICO	TRIPLE-S PROVIDER NUMBER
3	SE 2613	OTHER	PUERTO RICO	PALIC PROVIDER NUMBER
4	9260212	OTHER	PUERTO RICO	HUMANA INSURANCE PROVIDER

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: 4/28/2024

NPI Synchronization or Removal

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