DR. MA. LOURDES C. GONZALES (NPI# 1770797680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770797680 |
| Entity Type | Individual |
| Full Name | DR. MA. LOURDES C. GONZALES |
| Credential | M.D. |
| Practice Address |
17541 Hillside Ave Jamaica NY 11432-5724 |
| Mailing Address |
94 Village Ave Elmont NY 11003-4236 |
| Practice Telephone | 5164721710 |
| Mailing Telephone | 5164721710 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243713 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE | 243713 | 01 |
| Street Address |
17541 HILLSIDE AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675010 | Optimal Health Physical Therapy Pllc | Physical Therapist | 17541 Hillside Ave, Jamaica, NY 11432-5724 | 2019-11-29 |
| 1750937082 | Phoenix Rises Medical Services, P.C. | Internal Medicine | 17541 Hillside Ave, Jamaica, NY 11432-5724 | 2019-08-13 |
| 1841852274 | Assured Care Physical Therapy PC | Physical Therapist | 17541 Hillside Ave, Jamaica, NY 11432-5724 | 2019-07-06 |
| 1184996217 | Tomas M. Pattugalan Jr Md PC | Internal Medicine | 17541 Hillside Ave, Jamaica, NY 11432-5724 | 2012-02-06 |
| 1306913926 | Tomas M. Pattugalan | Internal Medicine | 17541 Hillside Ave, Jamaica, NY 11432 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699034751 | Munibur Medical, LLC | Psychiatry & Neurology | 8542 Midland Pkwy, Jamaica, NY 11432-2222 | 2012-05-10 |
| 1942597638 | Rose Michael | Psychiatry & Neurology | 9009 Van Wyck Expressway, Jamaica, NY 11418-2832 | 2011-07-01 |
| 1417247883 | Rtm Physiatry and Psychiatry Pllc | Psychiatry & Neurology | 8916 175th St Ste Cf3, Jamaica, NY 11432-5557 | 2011-04-19 |
| 1205167624 | Hammad Mohsin | Psychiatry & Neurology | 13848 Hoover Ave, Jamaica, NY 11435-1132 | 2010-01-25 |
| 1881816783 | Joseph Ludovic Zamor | Psychiatry & Neurology | 152-11 89th Avenue, Jamaica, NY 11432 | 2007-05-02 |
| 1588726285 | Sharmeen Sultana | Psychiatry & Neurology | 90-09 Van Wyck Expwy, State Road East, Jamaica, NY 11435 | 2006-12-16 |
| 1861553505 | Rachelle Scott | Psychiatry & Neurology | Queens Hosp Center, 82-68 164th St, Jamaica, NY 11432 | 2006-12-13 |
| 1336217652 | Teresita Dumo Ruiz | Psychiatry & Neurology | Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2006-12-04 |
| 1073603197 | Alla Prehogan | Psychiatry & Neurology | 179 Linden Blvd -00, Jamaica, NY 11425-0001 | 2006-10-13 |
| 1871534891 | Diane Sacks | Psychiatry & Neurology | 18129 Aberdeen Rd, Jamaica, NY 11432-1424 | 2006-06-09 |
| Find all providers in JAMAICA | ||||
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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.