ANAXIMENES GONZALEZ
NPI 1689148900
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Huntington, NY

Active since January 21, 2019PECOS Enrolled
790 PARK AVE, HUNTINGTON, NY 11743(631) 427-3700 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 29, 2026, Jan 21, 2019 (2 updates tracked since 2019).

About Anaximenes Gonzalez NPPES

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

ANAXIMENES GONZALEZ (NPI 1689148900) is an individual psychiatric/mental health, child & adolescent provider in Huntington, New York, licensed in New York (663336) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2025).

NPPES Registry Identity

NPI1689148900
Entity TypeIndividualMale
Primary Taxonomy163WP0807X
Provider Legal NameANAXIMENES GONZALEZ
Location Address790 PARK AVEHuntington, NY 11743-4516
Mailing Address790 Park AveHuntington, NY 11743-4516
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2025
Enumeration DateJanuary 21, 2019
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1689148900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License Licensed in NY · 663336
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 408096 (NY)
790 PARK AVE, Huntington, NY 11743

Secondary Practice Locations 2

Location 1790 Park AveHuntington, NY 11743-4516 · Phone (631) 889-2955
Location 228 Hofstra DrSmithtown, NY 11787-2019 · Phone (631) 889-2955

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anaximenes Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850868274
PECOS Enrollment IDI20260423000645
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 20

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

Student in an Organized Health Care Education/Training Program
790 PARK AVE
HUNTINGTON, NY 11743
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Case Manager/Care Coordinator
790 PARK AVE
HUNTINGTON, NY 11743
Student in an Organized Health Care Education/Training Program
790 PARK AVE
HUNTINGTON, NY 11743
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Social Worker
790 PARK AVE
HUNTINGTON, NY 11743
Social Worker (Clinical)
790 PARK AVE, FAMILY SERVICE LEAGUE
HUNTINGTON, NY 11743
Art Therapist
790 PARK AVE
HUNTINGTON, NY 11743

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 Anaximenes Gonzalez's NPI number?

The NPI number for Anaximenes Gonzalez is 1689148900. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Anaximenes Gonzalez located?

Anaximenes Gonzalez practices at 790 Park Ave, Huntington, NY 11743. The listed phone number is (631) 427-3700.

What is Anaximenes Gonzalez's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

Is Anaximenes Gonzalez enrolled in Medicare?

Yes. Anaximenes Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anaximenes Gonzalez was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.