MR. PEDRO MARIO GONZALEZ (NPI# 1003428228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003428228 |
| Entity Type | Individual |
| Full Name | MR. PEDRO MARIO GONZALEZ |
| Credential | MS, CTRS |
| Practice Address |
2094 Albany Post Rd Montrose NY 10548-1454 |
| Mailing Address |
703 Swan Hollow Rd Monroe NY 10950-5108 |
| Practice Telephone | 9147374400 |
| Mailing Telephone | 5165283222 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 13152 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470048 | Pedro Gonzalez | Psychologist | Condominio Garden Hills Plaza Torre I, Apt. 501 Ave. Luis Vigoreaux, Guaynabo, PR 00966 | 2011-04-21 |
| 1457486094 | Pedro J. Gonzalez | Dentist | 31 Calle Jose De Diego, Ciales, PR 00638-3229 | 2007-02-23 |
| 1770622052 | Pedro P Gonzalez | Dentist | 11912 Valley Blvd, Suite A, El Monte, CA 91732-3153 | 2007-02-05 |
| 1265514079 | Pedro Piolan Gonzalez | Internal Medicine | 25 President Ave, Lavallette, NJ 08735 | 2006-10-20 |
| 1144839812 | Pedro Gonzalez | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-07-28 |
| 1306493036 | Pedro Anthony Gonzalez Jr. | Pharmacist | 4355 N Sheridan Rd, Chicago, IL 60613-1497 | 2019-08-19 |
| 1801357082 | Pedro M Gonzalez | Technician, Other | 4802 25th Ave, Astoria, NY 11103-1021 | 2019-03-28 |
| 1972094886 | Pedro Gonzalez | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1447610498 | Pedro Gonzalez | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2016-03-03 |
| 1891112850 | Pedro Gonzalez | Counselor | 2637 W Burrel Ave, Visalia, CA 93291-4511 | 2014-03-27 |
| Street Address |
2094 ALBANY POST RD |
| City | MONTROSE |
| State | NY |
| Zip Code | 10548-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989601 | Renee Giordano | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2005-08-17 |
| 1023616463 | Alyssa Sanchez Torn | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-10-16 |
| 1528665965 | Linda Isabella Dossantos | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-10-08 |
| 1447866041 | Bryan Harrison | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-09-18 |
| 1073127973 | Haneul Judy Kwon | Pharmacist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-09-08 |
| 1003425018 | Reshmi Kurup | Optometrist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-26 |
| 1528676095 | Inova Javier | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-21 |
| 1720696529 | Lauren Sternberg | Student in an Organized Health Care Education/Training Program | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-07-17 |
| 1851918676 | Sheena Patel | Optometrist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-06-26 |
| 1295350403 | Katrina Elizabeth Karpinski | Optometrist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1508260472 | Ann M. Constantine | Social Worker | 57 Trolley Road, Frank G. Lindsey School, Montrose, NY 10548 | 2014-10-21 |
| 1750784690 | Susan Burke | Speech-Language Pathologist | 61 Trolley Road, Hendrick Hudson School District, Montrose, NY 10548 | 2014-10-07 |
| 1033369400 | Geri Lynne Friedman | Counselor | 2125 Albany Post Road, Suite 204, Montrose, NY 10548 | 2008-09-23 |
| 1063660942 | Sebastian J Shaw | Counselor | 2095 Albany Post Rd, Montrose, NY 10548 | 2008-09-03 |
| 1104093657 | Mertha L Wright | Social Worker | 20 94 Albany Post Rd, B52 R137, Montrose, NY 10548 | 2008-05-14 |
| 1336357334 | Mi-hyon Cho | Physical Medicine & Rehabilitation | Montrose Campus, Va Hudson Valley Health Care System, Montrose, NY 10548 | 2007-05-21 |
| 1811062110 | Stuart N Landesberg | Chiropractor | 2144 Albany Post Road, Montrose, NY 10548 | 2006-11-21 |
| 1598855199 | Michael D Glassman | Pharmacist | 138 Albany Post Road, Montrose, NY 10548 | 2006-10-13 |
| 1447346507 | Jay Pomales | Psychologist | Va Hudson Valley Healthcare System Albany Post Road, Montrose, NY 10548 | 2006-10-05 |
| Find all providers in zip 10548 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1265626485 | G Ruyack | Recreation Therapist | 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 | 2007-08-30 |
| 1962958793 | Amy Hahn | Recreation Therapist | 2094 Albany Post Road, Montrose, NY 10548 | 2016-08-31 |
| 1902351521 | Gretchen Smith | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2016-08-24 |
| 1336592898 | Ronald Turner I | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2016-07-20 |
| 1194178657 | Peter Dinoff | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2016-07-20 |
| 1679926299 | Julia Sedan Anderson | Recreation Therapist | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540822 | Simone M Wong | Recreation Therapist | 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 | 2018-05-31 |
| 1396257705 | Michael Krauer | Recreation Therapist | 920 48th St Rm 1515, Brooklyn, NY 11219-2918 | 2017-10-26 |
| 1629422902 | Karin Harris | Recreation Therapist | 73 Fairfield St, Middleville, NY 13406-1822 | 2016-04-22 |
| 1285017608 | Jennin Mary Nangle | Recreation Therapist | 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 | 2015-07-02 |
| 1578974184 | Anthony Martino | Recreation Therapist | 26041 73rd Ave, Glen Oaks, NY 11004-1029 | 2014-05-16 |
| 1316213796 | Marianne Pastorella | Recreation Therapist | 26200 Red Tail Ln, Evans Mills, NY 13637-3436 | 2012-03-29 |
| 1942574165 | Sanya Williams | Recreation Therapist | 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 | 2012-03-06 |
| 1558686642 | Janice Gully | Recreation Therapist | 82 Meadowmere Ave, Mastic, NY 11950-4606 | 2010-03-31 |
| 1568583185 | James Gorman, Jr. | Recreation Therapist | 64 2nd Ave, Albany, NY 12202-1240 | 2007-04-02 |
| 1366567729 | Yolanda Ruiz | Recreation Therapist | 1549 Townsend Ave, Bronx, NY 10452-6061 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
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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.