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DR. KATHLEEN REYES GONZALES DDS
NPI 1386102721
Dentist - Pediatric Dentistry in New Hyde Park, NY

Active since March 05, 2019PECOS Enrolled
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3076 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Mar 5, 2019 (2 updates tracked since 2019).

About Dr. Kathleen Reyes Gonzales Dds NPPES

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

DR. KATHLEEN REYES GONZALES DDS (NPI 1386102721) is an individual pediatric dentistry provider in New Hyde Park, New York, licensed in Connecticut (13040) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1386102721
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KATHLEEN REYES GONZALESCredential: DDS
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address304 Community Dr Apt 1jManhasset, NY 11030-3835 · (914) 882-9882
Phone(718) 470-3076
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1386102721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CT · 13040
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 13040 (CT)
27005 76TH AVE, New Hyde Park, NY 11040
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Secondary Practice Location 1

Location 11843 Hertel AveBuffalo, NY 14216-3006 · Phone (914) 882-9882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Reyes Gonzales Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

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 Kathleen Gonzales's NPI number?

The NPI number for Kathleen Gonzales is 1386102721. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Kathleen Gonzales located?

Kathleen Gonzales practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3076.

What is Kathleen Gonzales's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kathleen Gonzales enrolled in Medicare?

Yes. Kathleen Gonzales is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Gonzales accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Kathleen 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 Kathleen Gonzales was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.