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

Mr. Emmanuel Gonzalez, PA

Individual provider Medical Physician Assistant · NPI 1386480481

Mr. Emmanuel Gonzalez, PA is a Physician Assistant in South Orange, New Jersey. Qualified in 2024, 2 years ago. Practices with Essex Renal and Medical Group, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

511 S Orange Ave
South Orange, NJ 07079-2636
Phone: (973) 762-4720
Fax: (973) 762-3731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00861800 (NJ)

Record details

NPI number1386480481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Essex Renal And Medical Group,Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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