Jaclyn A Gonzalez
Physical Therapist in Midland Park, New Jersey
1083222335- Practice location
- 85 Godwin Ave, Midland Park, NJ 07432-1970
- Phone
- 201-639-8870
- Fax
- 201-639-8874
- Last updated
- July 22, 2020
Jaclyn Anne Gonzalez is a Physical Therapist based in Midland Park, NJ. Jaclyn Anne Gonzalez practices in Midland Park, NJ. The NPI Number for Jaclyn Anne Gonzalez is 1083222335 and holds a License No. 40QA00970800 (NJ). The current practice location address for Jaclyn Anne Gonzalez is 85 Godwin Ave, Midland Park, NJ 07432-1970 and can be reached out via phone at 201-639-8870 and via fax at 201-639-8874.
Provider Profile Details
- NPI Number
- 1083222335
- Provider Name
- Jaclyn Anne Gonzalez
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 85 Godwin Ave, Midland Park, NJ 07432-1970
- Phone Number
- 201-639-8870
- Fax Number
- 201-639-8874
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 22, 2020
- Last Update Date
- July 22, 2020
- Certification Date
- July 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 Godwin Ave
Midland Park, NJ 07432-1970 - City
- Midland Park
- State
- New Jersey
- Zip
- 07432-1970
- Phone Number
- 201-639-8870
- Fax Number
- 201-639-8874
Provider Business Mailing Address Details
- Address
- 1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258 - City
- Islandia
- State
- NY
- Zip
- 11749-5258
- Phone Number
- 631-580-5200
- Fax Number
- 631-760-8306
License Information
- License Number
- 40QA00970800
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jaclyn A Gonzalez?
The NPI number of Jaclyn A Gonzalez is 1083222335. It was assigned on July 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Jaclyn A Gonzalez?
Jaclyn A Gonzalez is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00970800.
Where does Jaclyn A Gonzalez practice?
The practice location is 85 Godwin Ave, Midland Park, NJ 07432-1970. The office can be reached at 201-639-8870 (phone) or 201-639-8874 (fax).
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 1083222335 directly on the NPPES registry website.