Active NPI
Noelle Gonzalez
- Physical Therapist
- Edgewater, NJ
National Provider Identifier
1265349674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02433700
- Practice address
- 19 The Promenade SPC A3B
Edgewater, NJ 07020-2126 - Phone
- (201) 377-1510
- Fax
- (201) 377-2151
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02433700 | NJ | Primary |
Addresses
Primary practice location
19 The Promenade SPC A3B
Edgewater, NJ 07020-2126
Mailing address
19 The Promenade SPC A3B
Edgewater, NJ 07020-2126
Other practice location 1
200 Hudson St Ste 127
Jersey City, NJ 07311-1220
Phone (201) 721-6130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1265349674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 THE PROMENADE SPC A3B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 THE PROMENADE SPC A3B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070202126",
"telephone_number": "201-377-1510",
"fax_number": "201-377-2151"
}
],
"practiceLocations": [
{
"address_1": "200 Hudson St Ste 127",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073111220",
"country_code": "US",
"telephone_number": "201-721-6130",
"fax_number": "201-721-6243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "NOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02433700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.