Julio Gonzalez, PTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QB00069700 Issued in NJ

Practice address

6 Mountain Ridge Dr
Cedar Grove, NJ 07009-1127

Phone

(973) 964-4457

NPI assigned

Nov 24, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1003144395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOUNTAIN RIDGE DR",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091127",
            "telephone_number": "973-964-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MOUNTAIN RIDGE DR",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091127",
            "telephone_number": "973-964-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JULIO",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QB00069700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Giancola, DC
• Melanie Glassman
• Maureen Patrice Glennon, NP
• Lauren Gogel, DPT
• Diana Goldfarb, APN
• Francisco Grape III, PT
• Kavita Gupta, MD
• Punit K Gupta, MD
• Vinit K. Gupta, M.D.
• Ruba Habib, MD

• Specialist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.