MARIO SEGUNDO GONZALEZ MD FCAP FASCP
NPI 1952414476
Pathology - Anatomic Pathology & Clinical Pathology in Newark, NJ
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 and is a graduate of Other (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Mario Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Mario Gonzalez, MD
- 20 clinicians in this Medicare group
Denville, NJ 07834
- Reassigned Medicare billing, New Jersey enrollment
- 23 clinicians in this Medicare group
Sandusky, OH 44870
- Reassigned Medicare billing, Ohio enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
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 Mario Gonzalez's NPI number?
The NPI number for Mario Gonzalez is 1952414476. It was assigned to this individual provider in the NPPES registry on August 17, 2006.
Where is Mario Gonzalez located?
Mario Gonzalez practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5200.
What is Mario Gonzalez's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Mario Gonzalez enrolled in Medicare?
Yes. Mario 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.
Which organizations bill Medicare for Mario Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Gonzalez reassigns Medicare benefits to 3 organizations: Princeton Pathology Services PA (Newark, NJ), Pathlink Of New Jersey (Denville, NJ) and Pathlink Of Ohio LLC (Sandusky, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mario Gonzalez was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mario Segundo Gonzalez, MD FCAP FASCP · NPI 1952414476
Anatomic Pathology & Clinical Pathology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1952414476 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 25MA07983800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 CENTRAL AVE, Newark, NJ 07102
- **Phone:** (973) 877-5200 · **Fax:** (973) 877-2468
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Princeton Pathology Services PA (NPI 1942498985, Newark, NJ); Pathlink Of New Jersey (NPI 1538821327, Denville, NJ); Pathlink Of Ohio LLC (NPI 1730883455, Sandusky, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1976
## Record status
- **NPPES last updated:** April 30, 2012
- **Other identifiers:** Medicaid MG87904 (RI); Medicare PIN 097096XJX (NJ); Medicare ID-Type Unspecified 097096UPB (NJ); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1952414476) · Data from the CMS NPPES public registry.