Christine Bernal Gonzales, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01752100 Issued in NJ

Practice address

433 Hackensack Ave
Hackensack, NJ 07601-6319

Phone

(201) 880-5930

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rumford Community Family Health Center, Inc.

  • Rural Health Clinic/Center
  • Rumford, ME
  • NPI 1578599775
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1013434059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 POPLAR ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072527",
            "telephone_number": "551-655-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HACKENSACK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016319",
            "telephone_number": "201-880-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Nichols St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057013275",
            "country_code": "US",
            "telephone_number": "802-775-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CHRISTINE",
        "middle_name": "BERNAL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6622",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134108",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01752100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asher C. Goldstein, MD.
• Brooke Alexandra Goldstein, DO
• Michael Jason Goldstein, MD
• Alberto Mario Goldwaser, M.D.
• Sergio G Golombek, MD
• Miguel Gonzalez Velez, MD
• Beatrice Jasmine Gonzalez
• Kassey Ginelle Gonzalez, DO
• Maria Cristina Gonzalez, APN
• Vanessa I Gonzalez

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.