MS. MICHELLE GONZAQUE LPN
NPI 1639833478
Licensed Practical Nurse in Bellport, NY

Q: What is Michelle Gonzaque's NPI number?

The NPI number for Michelle Gonzaque is 1639833478. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Q: What is Michelle Gonzaque's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Gonzaque was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 27, 2021

642 MACDONALD AVE, BELLPORT, NY 11713(631) 394-5115 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Michelle Gonzaque Lpn NPPES

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

MS. MICHELLE GONZAQUE LPN (NPI 1639833478) is an individual licensed practical nurse in Bellport, New York, licensed in New York (342766-01) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1639833478

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. MICHELLE GONZAQUECredential: LPN

Location Address642 MACDONALD AVEBellport, NY 11713-1649

Mailing Address642 Macdonald AveBellport, NY 11713-1649 · (631) 394-5115

Phone(631) 394-5115

Sole ProprietorNo

Enumeration DateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1639833478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 342766-01

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

642 MACDONALD AVE, Bellport, NY 11713

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Other Providers at the Same Location NPPES

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

NATALIE RAMONA GONZAQUE

Licensed Practical Nurse

642 MACDONALD AVE
BELLPORT, NY 11713

Suffolk County (631) 575-5203

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 Michelle Gonzaque's NPI number?

The NPI number for Michelle Gonzaque is 1639833478. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Michelle Gonzaque located?

Michelle Gonzaque practices at 642 Macdonald Ave, Bellport, NY 11713. The listed phone number is (631) 394-5115.

What is Michelle Gonzaque's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michelle Gonzaque was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.