MR. VIRGILIO MENDOZA GONZAGA JR. (NPI# 1245730027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245730027 |
| Entity Type | Individual |
| Full Name | MR. VIRGILIO MENDOZA GONZAGA JR. |
| Credential | RN |
| Practice Address |
174 Baier Ave Apt 106 Somerset NJ 08873-2043 |
| Practice Telephone | 8482169810 |
| Mailing Telephone | 8482169810 |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2018-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
725963 | NY | Nursing Service Providers |
| Street Address |
174 BAIER AVE APT 106 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693650 | Leslie Mae Espiritu | Registered Nurse | 44 E Prescott Ave, Colonia, NJ 07067-1411 | 2020-06-16 |
| 1346892700 | Justina Oseagulu | Registered Nurse | 715 Summit St, Linden, NJ 07036-4053 | 2019-07-15 |
| 1114403946 | Veronica Adeoye | Registered Nurse | 355 Willow Ave, Scotch Plains, NJ 07076-1127 | 2018-07-15 |
| 1780170092 | Supal Patel | Registered Nurse | 24 Holly Dr, Parlin, NJ 08859-1726 | 2018-07-10 |
| 1972005130 | Bergen Rnfa LLC | Registered Nurse | 2a Sweeney Ct, Montvale, NJ 07645-1786 | 2018-03-05 |
| 1083123913 | Jui-chen Lee | Registered Nurse | 22 Pueblo Ct, Morganville, NJ 07751-2005 | 2017-09-22 |
| 1780133124 | Teresa Houck | Registered Nurse | 2 Franmar Dr, Bridgeton, NJ 08302-4312 | 2016-09-27 |
| 1962872754 | Robert Carrow | Registered Nurse | 1 Thomas Ct, Swedesboro, NJ 08085-3074 | 2015-10-06 |
| 1811334261 | Liza Dorado Capistrano | Registered Nurse | 58 Howcroft Rd, Maywood, NJ 07607-1813 | 2013-05-24 |
| 1174885354 | Marjorie Amanda Greene | Registered Nurse | 98 Viola Ave, Clifton, NJ 07011-4215 | 2012-06-13 |
| 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.