LAURA KIMBERLEY GONZALEZ (NPI# 1558467191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558467191 |
| Entity Type | Individual |
| Full Name | LAURA KIMBERLEY GONZALEZ |
| Credential | MD |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Practice Telephone | 7182837885 |
| Practice Fax Number | 7186357228 |
| Mailing Telephone | 7182837885 |
| Mailing Fax Number | 7186357228 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
2008009076 | MO | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
264679 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777394 | Laura Gonzalez | Nurse Practitioner | 4208 N Bain Ave, Fresno, CA 93722-0447 | 2020-10-15 |
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1750905279 | Laura Gonzalez | Behavior Technician | 14330 Sw 157th St, Miami, FL 33177-6806 | 2020-06-01 |
| 1346750205 | Laura Lyann Gonzalez | Nurse Practitioner | 13 Walnut Ln, Ormond Beach, FL 32174-2618 | 2017-10-05 |
| 1518351923 | Laura Gonzalez | Hearing Instrument Specialist | 3820 S Dale Mabry Hwy, Tampa, FL 33611-1402 | 2015-03-24 |
| 1629469713 | Laura Elizabeth Gonzalez | Massage Therapist | 960 W 5th Ave, Eugene, OR 97402-5106 | 2015-02-10 |
| 1871904458 | Laura Gonzalez | Community Health Worker | 3535 Denver Ave, Lorain, OH 44055-2306 | 2014-05-16 |
| 1235417502 | Laura Gonzalez | Massage Therapist | 1855 Sw 1st St Apt 303, Miami, FL 33135-1944 | 2011-08-03 |
| 1669695565 | Laura Gonzalez | Dentist | 500 N Hiatus Rd Ste 109, Pembroke Pines, FL 33026-5213 | 2007-04-10 |
| 1457415465 | Laura Gonzalez | Dentist | 10693 Us Rt 11, Adams, NY 13605 | 2006-12-21 |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021046 | Linda M Bacon | Emergency Medicine | 595 Willoughby Ave, Brooklyn, NY 11206-6811 | 2013-10-02 |
| 1881778678 | Tracey Rico | Emergency Medicine | 272 Lincoln Pl, Suite D-3, Brooklyn, NY 11238-5837 | 2006-10-25 |
| 1396747135 | Nooruddin Rahmatullah Tejani | Emergency Medicine | Suny Downstate Medical Center, 450 Clarkson Ave., Box 1228, Brooklyn, NY 11203 | 2005-08-11 |
| 1124464722 | Cornelia Ileana Muntean | Emergency Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2013-05-22 |
| 1619239498 | Adetunbi Ayeni | Emergency Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2012-06-08 |
| 1386942555 | Suny Health Science Center At Brooklyn | Emergency Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1104143239 | Michael Tracy Mcway | Emergency Medicine | 506 6th St Dept Of, Brooklyn, NY 11215-3609 | 2010-04-29 |
| 1386883270 | Sharon Yellin | Emergency Medicine | 506 6th St, Brooklyn, NY 11215-3609 | 2009-02-17 |
| 1114096112 | Dorothy I Savarimuthu | Emergency Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2006-11-06 |
| 1255415709 | Estevan Adan Garcia | Emergency Medicine | 965 48th St, Brooklyn, NY 11219-2919 | 2006-10-24 |
| Find all providers in BROOKLYN | ||||
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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.