MEDICARE: MARTHA GONZALEZ R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	585718	NY

General Provider Information

NPI Number	:	1023542743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA GONZALEZ R.N.

Provider Business Mailing Address
First Line	:	13020 89TH RD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11418-3301
Country	:	US
Telephone Number	:	929-335-6542
Fax Number	:	347-765-2098

Provider Business Practice Location Address
First Line	:	13020 89TH RD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11418-3301
Country	:	US
Telephone Number	:	929-335-6542
Fax Number	:	347-765-2098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2017
Last Update Date	:	04/19/2017

Similar Medicare Providers

1205793908 — ROOTED THERAPY COLLECTIVE, LLC
Practice Location Address:

20 GLEN RD UNIT 3
JAMAICA PLAIN, MA
02130-3301

Practice Phone: 207-210-8275
Practice Fax:

1952981797 — VALISHA BARCLAY RDN
Practice Location Address:

17237 125TH AVE
JAMAICA, NY
11434-3301

Practice Phone: 347-605-0379
Practice Fax:

1396822839 — SAMARITAN DAYTOP VILLAGE, INC.
Practice Location Address:

13020 89TH RD
RICHMOND HILL, NY
11418-3301

Practice Phone: 718-441-8913
Practice Fax: 718-805-6041

1952620262 — MRS. LAURA MARIE YACINO RN
Practice Location Address:

13020 89TH RD
RICHMOND HILL, NY
11418-3301

Practice Phone: 718-441-2835
Practice Fax: 718-805-6041

1881000610 — JACQUELINE FEDERICI RN
Practice Location Address:

13020 89TH RD
RICHMOND HILL, NY
11418-3301

Practice Phone: 718-441-8914
Practice Fax:

1780068510 — MRS. SHAKEMA KOGER
Practice Location Address:

13020 89TH RD
RICHMOND HILL, NY
11418-3301

Practice Phone: 718-441-8913
Practice Fax:

Directions to “ MARTHA GONZALEZ R.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.