DR. JEANNETTE ROSE GONZALEZ SIMON


Address: 19 Hathaway Ln, Verona, NJ 07044-2306
Phone: 9172944620

DR. JEANNETTE ROSE GONZALEZ SIMON (NPI# 1487972659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487972659
Entity Type Individual
Full Name DR. JEANNETTE ROSE GONZALEZ SIMON
Other Name JEANNETTE SIMON
Credential D.O.
Practice Address 19 Hathaway Ln
Verona
NJ 07044-2306
Practice Telephone 9172944620
Mailing Telephone 9172944620
Enumeration Date 2010-05-12
Last Update Date 2019-04-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
25MB09786100 NJ Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
244298 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 19 HATHAWAY LN
City VERONA
State NJ
Zip Code 07044-2306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932707452 Tristate Medical and Wellness, LLC Clinic/Center 19 Hathaway Ln, Verona, NJ 07044-2306 2020-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831726017 John Roland Yeiser IIi Student in an Organized Health Care Education/Training Program Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 2020-03-26
1962989582 Karen E Carlough Massage Therapist 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 2018-07-26
1063935302 Our House, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Green Acres, #75, Verona, NJ 07044 2017-07-19
1891224150 Karen Gorman Counselor 12 Kenwood Ave, Verona, NJ 07044 2017-06-08
1154706208 Leonard Gallo Counselor 3 Overhill Rd, Verona, NJ 07044 2015-07-29
1932527082 Ekta Sharma Family Medicine 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 2014-04-04
1457676454 Nadine Lauer Marriage & Family Therapist 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 2010-04-01
1003147026 Anthony Goss Occupational Therapist 276 Linden Avenue, Verona, NJ 07044 2010-01-15
1487836243 Jerome Geyer Dentist 338 Bloomfield Avenue, Verona, NJ 07044 2007-12-03
1942407861 Satya D Narisety Allergy & Immunology 197 Bloomfield Avenue, Verona, NJ 07044 2007-07-03
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225419377 Gary Alan Herman Pediatrics 45 Arreton Rd, Princeton, NJ 08540-1427 2015-06-15
1902123615 Melissa Weidner Pediatrics 51 French St, Meb-303, New Brunswick, NJ 08901-1921 2010-04-21
1851537146 Jay Barth Pediatrics 550 Warwick Ave, Teaneck, NJ 07666-2927 2008-12-17
1225290919 Khadija T Toor Pediatrics 38 Meadowlands Pkwy Ste 205, Secaucus, NJ 07094-2925 2008-06-25
1720265234 Mohini Gautam Patel Pediatrics 100 Madison Ave Fl 2, Goryeb Children's Hospital At Morristown Medical Center, Morristown, NJ 07960-6136 2008-01-28
1265643068 Katherine Atienza Orellana Pediatrics 155 Polifly Rd Ste 102, Hackensack, NJ 07601-1771 2007-05-24
1649484791 Rupinder K Gill Pediatrics Mob 3, Saint Peter's University Hospital, New Brunswick, NJ 08901 2007-05-09
1356336960 Kathleen Graham Lomax Pediatrics 1 Health Plz, Building 125/3434a, East Hanover, NJ 07936-1016 2005-09-20
1578557344 Martin Daniel Fried Pediatrics 3200 Sunset Ave, Suite 100, Ocean, NJ 07712-4567 2005-09-07
1780293126 Rami Arrouk Md LLC Pediatrics 1947 Kennedy Blvd, Jersey City, NJ 07305 2020-07-30
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Competitor

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City VERONA
Zip Code 07044

Improve Information

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Dataset Information

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.

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