MARIO SEGUNDO GONZALEZ MD FCAP FASCP
NPI 1952414476
Pathology - Anatomic Pathology & Clinical Pathology in Newark, NJ

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5200(973) 877-2468 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mario Segundo Gonzalez Md Fcap Fascp NPPES

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

MARIO SEGUNDO GONZALEZ MD FCAP FASCP (NPI 1952414476) is an individual anatomic pathology & clinical pathology provider in Newark, New Jersey, licensed in New Jersey (25MA07983800) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1952414476
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMARIO SEGUNDO GONZALEZCredential: MD FCAP FASCP
Location Address111 CENTRAL AVENewark, NJ 07102
Mailing Address20 Nassau St, Suite 216Princeton, NJ 08542-4509 · (609) 924-3588 · Fax (609) 924-3581
Fax(973) 877-2468
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 17, 2006
Last NPPES UpdateApril 30, 2012
NPI 1952414476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NJ · 25MA07983800
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

111 CENTRAL AVE, Newark, NJ 07102

Other Identifiers 6

MedicaidMG87904RI
Medicare PIN097096XJXNJ
Medicare ID-Type Unspecified097096UPBNJ
Medicaid0081451NJ
Medicare UPINF01856
Medicaid095128NJ

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

Mario Segundo Gonzalez Md Fcap Fascp 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 ID2769408632
PECOS Enrollment IDI20060110000005, I20230707002532
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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.

Physician Assistant
111 CENTRAL AVE
NEWARK, NJ 07102
Family Medicine (Adult Medicine)
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine (Nephrology)
111 CENTRAL AVE
NEWARK, NJ 07102
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Nurse Practitioner (Family)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, SMMC, EMPLOYEE HEALTH - MSH ROOM 203
NEWARK, NJ 07102
Emergency Medicine (Medical Toxicology)
111 CENTRAL AVE
NEWARK, NJ 07102
Contractor
111 CENTRAL AVE, FLOOR M2
NEWARK, NJ 07102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952414476, enumerated as an "individual" on August 17, 2006.

The provider is located at 111 CENTRAL AVE NEWARK, NJ 07102 and the phone number is (973) 877-5200.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Mario Gonzalez is affiliated with: SAINT MICHAEL'S MEDICAL CENTER and FIRELANDS REGIONAL MEDICAL CENTER.