Active NPIIndividual providerSole proprietor

Mr. Julio Gonzalez, PTA

Specialist in Cedar Grove, New Jersey

NPI Number1003144395
Practice location
6 Mountain Ridge Dr, Cedar Grove, NJ 07009-1127
Fax
—
Last updated
November 24, 2009

Julio Gonzalez is a Specialist based in Cedar Grove, NJ. Julio Gonzalez practices in Cedar Grove, NJ and has the professional credentials of PTA. The NPI Number for Julio Gonzalez is 1003144395 and holds a License No. 40QB00069700 (NJ). The current practice location address for Julio Gonzalez is 6 Mountain Ridge Dr, Cedar Grove, NJ 07009-1127 and can be reached out via phone at 973-964-4457.

Provider Profile Details

NPI Number
1003144395
Provider Name
Julio Gonzalez
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
6 Mountain Ridge Dr, Cedar Grove, NJ 07009-1127
Phone Number
973-964-4457
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
November 24, 2009
Last Update Date
November 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Mountain Ridge Dr
Cedar Grove, NJ 07009-1127
Zip
07009-1127
Phone Number
973-964-4457
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
6 Mountain Ridge Dr
Cedar Grove, NJ 07009-1127
City
Cedar Grove
State
NJ
Zip
07009-1127
Phone Number
973-964-4457

License Information

License Number
40QB00069700
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Julio Gonzalez, PTA?

The NPI number of Mr. Julio Gonzalez, PTA is 1003144395. It was assigned on November 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Julio Gonzalez, PTA?

Mr. Julio Gonzalez, PTA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 40QB00069700.

Where does Mr. Julio Gonzalez, PTA practice?

The practice location is 6 Mountain Ridge Dr, Cedar Grove, NJ 07009-1127. The office can be reached at 973-964-4457 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003144395 directly on the NPPES registry website.

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