DR. ENRICO C GONZALEZ (NPI# 1235138959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235138959 |
Entity Type | Individual |
Full Name | DR. ENRICO C GONZALEZ |
Credential | MD |
Practice Address |
43 Yawpo Ave Suite#1 Oakland NJ 07436-2714 |
Practice Telephone | 2013376604 |
Practice Fax Number | 2014050558 |
Mailing Telephone | 2013376604 |
Mailing Fax Number | 2014050558 |
Enumeration Date | 2005-07-14 |
Last Update Date | 2015-09-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA03360900 | NJ | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA03360900 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0921301 | 05 |
Street Address |
43 YAWPO AVE SUITE#1 |
City | OAKLAND |
State | NJ |
Zip Code | 07436-2714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093716359 | Noel Wiederhorn | Pediatrics | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2005-08-09 |
1407492879 | Monika K Niemiec | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-11-20 |
1548802739 | Shannon Morgan Linde | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-10-09 |
1144705328 | Kajal Gandhi | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2018-10-03 |
1346766094 | Sylvia Bucharowski | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2017-08-15 |
1215390083 | Taylor Shaker | Family Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2016-03-30 |
1669634333 | Perry Rogers Ricci | Chiropractor | 43 Yawpo Ave, Suite 6, Oakland, NJ 07436-2714 | 2008-06-25 |
1154502045 | John Hyung-il Lee | Emergency Medicine | 43 Yawpo Ave, Ste 2, Oakland, NJ 07436-2717 | 2007-11-19 |
1962625210 | Clayton Irving Bridges Jr. | Physician Assistant | 43 Yawpo Ave, Suite 3, Oakland, NJ 07436-2714 | 2007-04-11 |
1780734962 | Benjamin R Dispenziere | Obstetrics & Gynecology | 43 Yawpo Ave, Suite 4, Oakland, NJ 07436-2714 | 2007-01-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689832610 | Coyness L. Ennix Jr., M.d., Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3300 Webster St, Suite 404, Oakland, CA 94609-3117 | 2008-05-27 |
1518017334 | Paul Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2007-01-12 |
1689753394 | Hon S. Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-03 |
1003994898 | John L. Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
1346328135 | Dennis S. Durzinsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
1952489726 | Steven G. Granelli | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
1235217035 | David Alyono | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
1902984701 | Steven F. Webster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
1760574917 | Barry B Sheppard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3300 Webster St, Suite 500, Oakland, CA 94609-3117 | 2006-09-28 |
1740372770 | Russell David Stanten | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3300 Webster St, Suite 500, Oakland, CA 94609-3117 | 2006-09-28 |
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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.