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MR. EMMANUEL GONZALEZ PA
NPI 1386480481
Physician Assistant - Medical in South Orange, NJ

Active since July 08, 2024PECOS EnrolledAccepts Medicare Assignment
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 762-4720(973) 762-3731 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Emmanuel Gonzalez Pa NPPES

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

MR. EMMANUEL GONZALEZ PA (NPI 1386480481) is an individual medical provider in South Orange, New Jersey, licensed in New Jersey (25MP00861800) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386480481
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. EMMANUEL GONZALEZCredential: PA
Location Address511 S ORANGE AVESouth Orange, NJ 07079-2636
Mailing Address511 S Orange AveSouth Orange, NJ 07079-2636 · (973) 762-4720 · Fax (973) 762-3731
Phone(973) 762-4720
Fax(973) 762-3731
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1386480481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NJ · 25MP00861800
511 S ORANGE AVE, South Orange, NJ 07079
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Emmanuel Gonzalez Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921548090
PECOS Enrollment IDI20260212001176
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.

Other Providers at the Same Location NPPES 6

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

CROSSTOWN PODIATRY
Podiatrist
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (908) 285-3217
INFECTIOUS DISEASES SERVICES OF NEW JERSEY LLC
Internal Medicine (Infectious Disease)
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 200-3600
GARDEN STATE FAMILY CARE ASSOCIATES LLC
Internal Medicine
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 821-3640
DR. SOFIA SHAPIRO M.D.
Internal Medicine
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 763-8950
SOFIA SHAPIRO, MD, LLC
Internal Medicine
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 763-8950
ESSEX RENAL & MEDICAL GROUP,LLC
Internal Medicine (Nephrology)
511 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 762-4720

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 Emmanuel Gonzalez's NPI number?

The NPI number for Emmanuel Gonzalez is 1386480481. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Emmanuel Gonzalez located?

Emmanuel Gonzalez practices at 511 S Orange Ave, South Orange, NJ 07079. The listed phone number is (973) 762-4720.

What is Emmanuel Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Emmanuel Gonzalez enrolled in Medicare?

Yes. Emmanuel Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emmanuel Gonzalez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Emmanuel Gonzalez 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 Emmanuel Gonzalez was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.