DR. MANUEL ALCIDES GONZALEZ (NPI# 1457311144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457311144 |
| Entity Type | Individual |
| Full Name | DR. MANUEL ALCIDES GONZALEZ |
| Credential | DDS |
| Practice Address |
440 E Westfield Ave Ste 2 Roselle Park NJ 07204-2452 |
| Practice Telephone | 9084694375 |
| Practice Fax Number | 9084694376 |
| Mailing Telephone | 9084694375 |
| Mailing Fax Number | 9084694376 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
050627 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801193701 | Manuel Octavio Gonzalez | Internal Medicine | 6050 W 20th Ave Fl 3, Hialeah, FL 33016-2605 | 2011-02-12 |
| 1730419409 | Manuel G Gonzalez | Massage Therapist | 1820 W 53rd St, Apt 403, Hialeah, FL 33012-2164 | 2010-01-02 |
| 1356584361 | Manuel D. Gonzalez | Internal Medicine | 721 N.w 21 Court, Suite 100, Miami, FL 33125 | 2009-04-07 |
| 1538308614 | Manuel Gonzalez Gonzalez | Anesthesiology | 72 Helmsford Way, Penfield, NY 14526-1910 | 2009-02-12 |
| 1497800692 | Manuel D Gonzalez | Optometrist | 11552 Telegraph Rd, Santa Fe Springs, CA 90670-3110 | 2007-01-25 |
| 1710061239 | Manuel J Gonzalez | Surgery | 1101 Corpus Christi St, Laredo, TX 78040-5258 | 2006-10-24 |
| 1215010087 | Manuel Gonzalez | Clinic/Center | Calle Riefkhol 1a, Patillas, PR 00723 | 2006-10-23 |
| 1780640607 | Manuel Gonzalez Jr. | Family Medicine | 7000 Sw 97th Ave Ste 110, Miami, FL 33173-1474 | 2006-04-21 |
| 1821066812 | Manuel A Gonzalez | Dentist | 601 Calle Lodi, Villa Capri, San Juan, PR 00924-3844 | 2006-03-08 |
| 1417579921 | Manuel Gonzalez | Behavior Technician | 5753 W 15th Ct, Hialeah, FL 33012-2242 | 2020-05-07 |
| Street Address |
440 E WESTFIELD AVE STE 2 |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234160 | Jennifer Estela-stollwerck | Nurse Practitioner | 744 Galloping Hill Road, Roselle Park, NJ 07204 | 2016-01-29 |
| 1245668805 | Kristin M Sonneborn | Physical Therapist | 430 East Westfield Avenue Case Plus Rehab, Roselle Park, NJ 07204 | 2013-10-17 |
| 1366785115 | Jeffrey Adam Shrensel | Internal Medicine | 318 East Westfield Avenue, Roselle Park, NJ 07204 | 2013-03-30 |
| 1972760734 | Mailyn Sanchez Malabanan | Physical Therapy Assistant | 820 Elm Street, Roselle Park, NJ 07204 | 2008-05-20 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1245384916 | Senior Spirit of Roselle Park | Clinic/Center | 430 East Westfield Avenue, Roselle Park, NJ 07204 | 2007-01-22 |
| 1366592040 | Norman J. Schwartz, Dmd, Pa | Dentist | 14 East Westfield Ave, Roselle Park, NJ 07204 | 2007-01-12 |
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1447205067 | Gerald West | Otolaryngology | 505 Chestnut Street, Roselle Park, NJ 07204 | 2006-05-23 |
| Find all providers in zip 07204 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
| 1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
| 1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
| 1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
| 1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
| City | ROSELLE PARK |
| Zip Code | 07204 |
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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.