MR. GUSTAVO GONZALES APN,C
NPI 1124055389
Nurse Practitioner - Adult Health in Dover, NJ
About Mr. Gustavo Gonzales Apn,c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GUSTAVO GONZALES APN,C (NPI 1124055389) is an individual adult health provider in Dover, New Jersey, licensed in New Jersey (26NJ00106400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gustavo Gonzales Apn,c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gustavo Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Basking Ridge, NJ 07920
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Fellowship Village Inc
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gustavo Gonzales's NPI number?
The NPI number for Gustavo Gonzales is 1124055389. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is Gustavo Gonzales located?
Gustavo Gonzales practices at 25-27 E Dickerson St Ste 101, Dover, NJ 07801. The listed phone number is (973) 361-0750.
What is Gustavo Gonzales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Gustavo Gonzales enrolled in Medicare?
Yes. Gustavo Gonzales is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gustavo Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Gonzales reassigns Medicare benefits to Fellowship Senior Living, Inc. (Basking Ridge, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gustavo Gonzales accept?
Health plans from Oscar Health list Gustavo Gonzales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gustavo Gonzales was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.