Jonathan O Gonzaga, PT
Specialist in Fair Lawn, New Jersey
1629248562- Practice location
- 14-25 Plaza RD, S31, Fair Lawn, NJ 07410-3546
- Phone
- 201-797-2050
- Fax
- 201-797-2051
- Last updated
- June 6, 2013
Jonathan Orio Gonzaga is a Specialist based in Fair Lawn, NJ. Jonathan Orio Gonzaga practices in Fair Lawn, NJ and has the professional credentials of PT. The NPI Number for Jonathan Orio Gonzaga is 1629248562 and holds a License No. 028580 (NY). The current practice location address for Jonathan Orio Gonzaga is 14-25 Plaza RD, S31, Fair Lawn, NJ 07410-3546 and can be reached out via phone at 201-797-2050 and via fax at 201-797-2051.
Provider Profile Details
- NPI Number
- 1629248562
- Provider Name
- Jonathan Orio Gonzaga
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14-25 Plaza RD, S31, Fair Lawn, NJ 07410-3546
- Phone Number
- 201-797-2050
- Fax Number
- 201-797-2051
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2008
- Last Update Date
- June 6, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14-25 Plaza RD
S31
Fair Lawn, NJ 07410-3546 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3546
- Phone Number
- 201-797-2050
- Fax Number
- 201-797-2051
Provider Business Mailing Address Details
- Address
- 14-25 Plaza RD
S-3-1
Fair Lawn, NJ 07410-3546 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3546
- Phone Number
- 201-797-2050
- Fax Number
- 201-797-2051
License Information
- License Number (1)
- 028580
- License State (1)
- NY
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 40QA01303200
- License State (2)
- NJ
- Taxonomy (2)
- Specialist · 174400000X · 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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View all Specialists in Fair Lawn →- Dr Ramin B Cocoziello MD PCSpecialist · NPI 1295929867
- Dr. Boris L Prakhina, MDSpecialist · NPI 1609087659
- Dr. Eileen M Clifford, MDSpecialist · NPI 1730264052
- Dr. Merab Joseph, MDSpecialist · NPI 1053421032
- Dr. Ramin B Cocoziello, MDSpecialist · NPI 1053344077
- Dr. Roman N Kosiborod, DOSpecialist · NPI 1831192079
Frequently Asked Questions
What is the NPI number of Jonathan O Gonzaga, PT?
The NPI number of Jonathan O Gonzaga, PT is 1629248562. It was assigned on March 6, 2008 and is currently active in the NPPES registry.
What is the specialty of Jonathan O Gonzaga, PT?
Jonathan O Gonzaga, PT is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 028580.
Where does Jonathan O Gonzaga, PT practice?
The practice location is 14-25 Plaza RD, S31, Fair Lawn, NJ 07410-3546. The office can be reached at 201-797-2050 (phone) or 201-797-2051 (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 1629248562 directly on the NPPES registry website.