Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miguel Gonzalez, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1558918979

Miguel Gonzalez, NURSEPRACTITIONER is a Nurse Practitioner in Teaneck, New Jersey. Qualified in 2019, 7 years ago. Practices with Rwjbh Primary Care Services, a 263-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone: (201) 833-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00962200 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 26NJ00962200 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ00962200 (NJ)

Record details

NPI number1558918979
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rwjbh Primary Care Services — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Teaneck