BIANCA S. GONZALEZ (NPI# 1609234376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609234376 |
| Entity Type | Individual |
| Full Name | BIANCA S. GONZALEZ |
| Practice Address |
538 Broadhollow Rd Suite 202 Melville NY 11747-3676 |
| Practice Telephone | 6313857780 |
| Mailing Telephone | 6313857780 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884520 | Bianca Gonzalez | Physical Therapy Assistant | 4834 Beaver Pond Dr., Brownsville, TX 78520 | 2018-09-10 |
| 1154843688 | Bianca Gonzalez | Dentist | 6706 Sw 67th St, South Miami, FL 33143-3108 | 2017-07-17 |
| 1043634223 | Bianca Gonzalez | Registered Nurse | 3127 95th St, East Elmhurst, NY 11369-1745 | 2014-02-10 |
| 1255946372 | Bianca Gonzalez | Community Health Worker | 39 Quail Ct Ste 203, Walnut Creek, CA 94596-5569 | 2020-09-15 |
| 1679194518 | Bianca Gonzalez | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-05-01 |
| 1457998833 | Bianca Gonzalez | Behavior Technician | 2400 W Dunlap Ave Ste 100, Phoenix, AZ 85021-2813 | 2019-12-05 |
| 1821576570 | Bianca Renee Gonzalez | Behavior Technician | 1145 Sibley St, Folsom, CA 95630-3222 | 2018-08-03 |
| 1699280461 | Bianca M Gonzalez | Nurse's Aide | 5979 Nw 151st St Ste 102i, Miami Lakes, FL 33014-2434 | 2017-12-02 |
| 1780122846 | Bianca Gonzalez | Behavioral Analyst | 126 W Olive Ave, Monrovia, CA 91016-3410 | 2017-02-08 |
| 1619331006 | Bianca A Gonzalez | Counselor | 1308 Waukegan Rd Ste 103, Glenview, IL 60025-3070 | 2016-04-12 |
| Street Address |
538 BROADHOLLOW RD SUITE 202 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548308125 | Becki Naomi Boussidan | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2007-02-03 |
| 1801315478 | Courtney N Pallotta | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-09-14 |
| 1104340520 | Julianne Fairbrother | Early Intervention Provider Agency | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-07-27 |
| 1144759572 | Carly Galvin | Behavior Technician | 538 Broadhollow Rd, Suite 202, Melville, NY 11747 | 2017-06-08 |
| 1679001614 | Shanequa Myers | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-02 |
| 1861920928 | Karina Kononenko | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-01 |
| 1144758418 | Nicole P Ringel | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-31 |
| 1740718634 | Michelle Kopec | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-23 |
| 1568998953 | Haley Sabella | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1790211142 | Angela Olsen | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881394 | Veronica Noemi Alcerro | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-05-04 |
| 1750901617 | Alejandra Singh-lopez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-04-21 |
| 1356992572 | Eric Lorentsen | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-09-28 |
| 1649827460 | Amanda Rose Makarius | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-08-26 |
| 1356902530 | Marcela Emperatriz Sanchez | Case Manager/Care Coordinator | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-06-27 |
| 1477018844 | Kathya Manzano | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-02-09 |
| 1902372477 | Sara Catalina Simone | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 | 2018-10-22 |
| 1043792294 | Blanca Hernandez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-09-04 |
| 1275014797 | Brendy Sosa | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-08-23 |
| 1912497991 | Daniela Guaricela | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-05-15 |
| Find all providers in MELVILLE | ||||
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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.