Maricel Lazo-Gonzales, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01012000 Issued in NJ

Practice address

459 Watchung Ave
Watchung, NJ 07069

Phone

(908) 756-2424

Fax

(908) 546-7978

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maricel Lazo Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Performance Medical Group of Branchburg LLC

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment NPD
• Performance Medical Group of Somerset

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment NPD
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)
• Longevity Medical LLC

  • Specialist
  • South Amboy, NJ
  • NPI 1972779486
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1033368279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694905",
            "telephone_number": "908-756-2424",
            "fax_number": "908-546-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "07069",
            "telephone_number": "908-756-2424",
            "fax_number": "908-546-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Watchung Ave",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "07069",
            "country_code": "US",
            "telephone_number": "908-756-2424",
            "fax_number": "908-546-7978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZO-GONZALES",
        "first_name": "MARICEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01012000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICEL",
            "last_name": "LAZO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KSF Counseling Services
• Ajay Kumar, M.D.
• Vijaya S Lakshmi-Reddy, M.D.
• Vivian Lam, MS, LAC, CRC
• Allison Layman, LAC
• LDK Counseling, LLC
• Edith Lee
• Letscare Services LLC
• Life Skills Resource Center
• Diana Liu, D.M.D.

• Physical Therapist in Watchung, NJ
• Providers in Watchung, 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 Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.