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JOSE E GONZALEZ M.D.
NPI 1346459757
Specialist in Eldersburg, MD

Active since May 22, 2007CLIA 21D2017698 · Waiver
1380 PROGRESS WAY STE 110, ELDERSBURG, MD 21784(410) 795-4020(410) 795-2733 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose E Gonzalez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE E GONZALEZ M.D. (NPI 1346459757) is an individual specialist in Eldersburg, Maryland, licensed in Maryland (D030953) and active in the NPI registry since May 2007. He holds a CLIA Waiver certificate valid through December 12, 2026.

NPPES Registry Identity

NPI1346459757
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOSE E GONZALEZCredential: M.D.
Location Address1380 PROGRESS WAY STE 110Eldersburg, MD 21784-6499
Mailing Address1380 Progress Way Ste 110Eldersburg, MD 21784-6499 · (410) 795-4020 · Fax (410) 795-2733
Phone(410) 795-4020
Fax(410) 795-2733
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346459757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D030953
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.
1380 PROGRESS WAY STE 110, Eldersburg, MD 21784
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Other Identifiers 1

Medicare UPIND71163MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2017698

Jose E Gonzalez MD PA · Eldersburg, MD
Active · expires Dec 12, 2026
CLIA Number21D2017698
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorDr. Jose Gonzalez
Laboratory Phone(410) 795-4020
Laboratory LocationJose E Gonzalez MD PA1643 Liberty Road Unit 106, Eldersburg, MD 21784
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jose Gonzalez's NPI number?

The NPI number for Jose Gonzalez is 1346459757. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jose Gonzalez located?

Jose Gonzalez practices at 1380 Progress Way Ste 110, Eldersburg, MD 21784. The listed phone number is (410) 795-4020.

What is Jose Gonzalez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Jose Gonzalez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2017698) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jose Gonzalez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.