Mario Segundo Gonzalez, MD FCAP FASCP in Newark, NJ

Mario Segundo Gonzalez, MD FCAP FASCP is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Newark, New Jersey. His current practice location is 111 Central Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 877-5200.

Mario Segundo Gonzalez is licensed to practice in New Jersey (license number 25MA07983800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952414476.

Contact Information

	Mario Segundo Gonzalez, MD FCAP FASCP
	111 Central Ave, Newark, NJ 07102
	(973) 877-5200
	(973) 877-2468

Map and Direction

Physician's Profile

Full Name	Mario Segundo Gonzalez
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	111 Central Ave, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952414476
Provider Enumeration Date: 08/17/2006
Last Update Date: 04/30/2012

Medicare PECOS Information:

PECOS PAC ID: 2769408632
Enrollment ID: I20060110000005

Medical Identifiers

Medical identifiers for Mario Segundo Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952414476	NPI	-	NPPES
MG87904	Medicaid	RI
095128	Medicaid	NJ
0081451	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	25MA07983800 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mario Segundo Gonzalez allows following entities to bill medicare on his behalf.

Entity Name	Mario Gonzalez, Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942498985 PECOS PAC ID: 3779509641 Enrollment ID: O20051020000084

Entity Name	Pathlink Of New Jersey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538821327 PECOS PAC ID: 0446641245 Enrollment ID: O20220106000038

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Segundo Gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mario Segundo Gonzalez, MD FCAP FASCP 20 Nassau St, Suite 216, Princeton, NJ 08542-4509 Ph: (609) 924-3588	Mario Segundo Gonzalez, MD FCAP FASCP 111 Central Ave, Newark, NJ 07102 Ph: (973) 877-5200

Reviews and Comments

Pathology Doctors in Newark, NJ

Dr. Jie-gen Jiang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen Street, Newark, NJ 07103 Phone: 973-972-4083 Fax: 973-972-5909
Xinlai Sun, MD Pathology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave # L-4, Newark, NJ 07112 Phone: 973-926-7580 Fax: 973-705-8301
Stanley Cohen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4145 Fax: 973-972-5909
George P. Studzinski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-5869 Fax: 973-972-5909
Seena Carol Aisner, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107 Phone: 973-972-0037
Leroy Ralph Sharer, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4770 Fax: 973-972-5933
Fermina M Mazzella, MD Pathology Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Room C-102, Newark, NJ 07103 Phone: 973-972-4619 Fax: 973-972-3199

Mario Segundo Gonzalez, MD FCAP FASCP - Medicare Pathology in Newark, NJ