Mr. James Gonedes Jr.
Mr. James Gonedes Jr. is a Nurse Practitioner in Massapequa, New York. Qualified in 2024, 2 years ago. Practices with Family Service League Inc, a 47-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 2
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
293 N Park DrMassapequa, NY 11758-2131
Phone: (732) 670-9799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 406044 (NY) |
|---|
Record details
| NPI number | 1417792409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2024 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | June 30, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Family Service League Inc — 47 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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