Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104816875 Individual Practitioner Male Practitioner

Dr. Diego De Jesus Gonzalez , MD

Pediatrics • Hazleton, PA

Professional Overview & Biography Verified Profile Summary

Dr. Diego Gonzalez, MD is a registered healthcare professional specializing in Pediatrics in Hazleton, PA. Practice services are available at 564 W BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

564 W Broad St

Hazleton, PA 182016108

Telephone 4848844500
Associated Practice Facility / Clinic
🏢 Lehigh Valley Physician Group Facility NPI 1942609599

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hazleton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Hazleton, PA (3505 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD040959L

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Jenna Freed

Advanced Practice Midwife

NPI 1114762093
Bonnie Butz , RDH

Dental Hygienist

NPI 1114885084

Registered Dental Hygienist

Kelsey Moyer , MS, OTR, L

Occupational Therapist

NPI 1194262105

Master of Science, Occupational Therapist Registered, L

Emily Barbella , PA-C

Physician Assistant - Surgical

NPI 1215695457

Physician Assistant (Certified)

Sheena Rettaliata , PA

Physician Assistant

NPI 1225372618

Physician Assistant

Dr. Kevin Fogarty , MD

Radiology - Diagnostic Radiology

NPI 1245221506

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 04, 2024

Registered at 564 W BROAD ST, HAZLETON, PA 182016108 (Tel: 4848844500)

📍
Updated Business Mailing Address October 04, 2024

Registered at 2100 MACK BLVD, ALLENTOWN, PA 181035622 (Tel: 4848844500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Pediatrics (License #MD040959L in PA)

📍
Updated Practice Location May 05, 2022

Registered at 300 HIGHLAND AVE, HANOVER, PA 173312297 (Tel: 7173163711)

📍
Updated Business Mailing Address May 05, 2022

Registered at 300 HIGHLAND AVE, HANOVER, PA 173312297 (Tel: 7173163711)

👤
Provider Name / Credentials Updated May 05, 2022

Recorded as DIEGO GONZALEZ, MD

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as DIEGO GONZALEZ PEREZ, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Pediatrics (License #178652-1 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)

📍
Updated Business Mailing Address July 08, 2007

Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIEGO GONZALEZ, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD040959L in PA)

🟢
Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104816875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: October 04, 2024
Sole Proprietor: No

Mailing Address

2100 Mack Blvd

Allentown, PA 181035622

Phone: 4848844500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.