MARIO GONZALEZ MD NPI 1942498985

NPI Information

  • NPI: 1942498985
  • Provider Name: MARIO GONZALEZ, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Doing Business As: PRINCETON PATHOLOGY SERVICES PA
  • Address: 111 CENTRAL AVE
    NEWARK, NJ
    ZIP 07102
  • Phone: (813) 490-7206

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NPI Details

MARIO GONZALEZ, MD is an anatomic pathology and clinical pathology pathology in Newark, NJ. The provider is 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. MARIO GONZALEZ, MD NPI is 1942498985. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Princeton Pathology Services Pa.

The provider's business location address is:

111 CENTRAL AVE
NEWARK, NJ
ZIP 07102-909
Phone: (813) 490-7206
Fax: (813) 886-6655

The provider's authorized official is Mario Gonzalez .
The authorized official title is Owner/president and has the following contact phone number (813) 490-7206.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 11/17/2023.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

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
10083151MEDICAIDNEW 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: 3/30/2025

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