13405 ROCKAWAY BLVD
SOUTH OZONE PARK, NY 11420-3020 US PECOS Enrolled
Fausto A Gonzalez
Internal Medicine Physician
- SOUTH OZONE PARK, NY
- Phone: (718)-323-5500
- Last Updated 5/17/2023
Overview
Fausto A Gonzalez is a Internal Medicine Physician in the SOUTH OZONE PARK area and has over 28 years of experience. Fausto A Gonzalez primary office location is at 13405 ROCKAWAY BLVD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1996 The NPI number is 1124087713 and the information was updated approximately 1 year ago.
Fausto A Gonzalez is part of two medical groups, including ONE STOP MEDICAL CARE PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 229968-1 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| GHI PPO | 2590034 | NY |
| MEDICAID | 0258138 | NY |
| WELLCARE | 286588 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | NY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040514001006 |
| PECOS Individual PAC ID: | 4082607957 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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