Johanna Jacqueline Gonzalez Mejia in Elizabeth - Specialist
Johanna Jacqueline Gonzalez Mejia - NPI 1669565396
Johanna Jacqueline Gonzalez Mejia is a Specialist in Elizabeth, New Jersey. Johanna Jacqueline Gonzalez Mejia practices all healthcare services and medical treatments related to Specialist. The NPI Number for Johanna Jacqueline Gonzalez Mejia is 1669565396. The last update date is 2007-07-09.
Johanna Jacqueline Gonzalez Mejia's current location address is 433 North Broad Street, Elizabeth, New Jersey. You can contact this provider via phone number 9084361002 and fax number 9084361109. The mailing address for Johanna Jacqueline Gonzalez Mejia is 433 North Broad Street, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna Jacqueline Gonzalez Mejia |
|---|---|
| Address | 433 North Broad Street, Elizabeth, New Jersey |
| Phone Number | 9084361002 |
| Fax Number | 9084361109 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669565396 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 433 North Broad Street |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 72083398 |
| Phone Number | 9084361002 |
| Fax Number | 9084361109 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA06899700 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202092816 | NJ | TAX ID, | |
| AH0236165301 | NJ | AMERIHEALTH | |
| 60013229 | NJ | HORIZON NJ HEALTH | |
| 1000296602 | NJ | AMERICHOICE | |
| 97222 | NJ | AMERIGROUP | |
| 8565708 | NJ | -- | |
| 31002 | NJ | UNIVERSITY HEALTH PLAN | |
| 7752202 | NJ | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Johanna Jacqueline Gonzalez Mejia by the Centers for Medicare & Medicaid Services?
The Johanna Jacqueline Gonzalez Mejia has been issued the NPI (National Provider Identifier) 1669565396, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Johanna Jacqueline Gonzalez Mejia's facilities are situated?
The facilities of Johanna Jacqueline Gonzalez Mejia are physically located at the following address: 433 North Broad Street, Elizabeth, NJ, 72083398.
What is Johanna Jacqueline Gonzalez Mejia's area of expertise and its corresponding taxonomy classification?
The Johanna Jacqueline Gonzalez Mejia's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1669565396 to Johanna Jacqueline Gonzalez Mejia?
The Centers for Medicare & Medicaid Services assigned the 1669565396 to Johanna Jacqueline Gonzalez Mejia on 2006-10-02.
When was the information regarding Johanna Jacqueline Gonzalez Mejia, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Johanna Jacqueline Gonzalez Mejia, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.