Dr. Diego De Jesus Gonzalez, MD
Dr. Diego De Jesus Gonzalez is a Pediatrics Physician provider (Pediatrics) practicing in Hazleton, PA, registered in the NPPES registry with NPI 1104816875 since 2005. The credential MD stands for Doctor of Medicine. Practices at Lehigh Valley Physician Group (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104816875 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Diego De Jesus Gonzalez |
| Credential | MD |
| Sex | Male |
| Practice address | 564 W BROAD ST, Hazleton, PA, 18201 |
| Phone | 4848844500 |
| Enumeration date | 2005-10-25 |
| Last updated in NPPES | 2024-10-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | MD040959L | PA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Diego Gonzalez, MD NPI: 1104816875 Taxonomy: 208000000X (Pediatrics Physician) Address: 564 W BROAD ST, Hazleton, PA, 18201
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356345748 | Bassam Bittar | Individual | Pediatrics Physician | Hazleton, PA |
| 1225144041 | Stephan Glicken | Individual | Pediatrics Physician | Hazleton, PA |
| 1801942123 | James Caggiano | Individual | Pediatrics Physician | Hazleton, PA |
| 1891078796 | Laura Shallenberger | Individual | Medical Physician Assistant | Hazleton, PA |
| 1942609599 | Lehigh Valley Physician Group | Organization | General Practice Physician | Hazleton, PA |
| 1639523046 | Jocelyn Masotti | Individual | Medical Physician Assistant | Hazleton, PA |
| 1962081646 | Jennifer Jordan | Individual | Pediatrics Physician | Hazleton, PA |
| 1891423281 | Brittany Cavanaugh | Individual | Pediatric Nurse Practitioner | Hazleton, PA |
Verify this record
Cross-check NPI 1104816875 against the authoritative CMS record: view Dr. Diego De Jesus Gonzalez on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-04.