Charles P Gonzales DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00481200 Issued in NJ

Legal business name

CHARLES P GONZALES DC PC

Doing business as

Life Family Chiropractic

Practice address

734 Broadway
Bayonne, NJ 07002-4274

Phone

(201) 858-0444

Fax

(201) 858-4049

NPI assigned

Sep 25, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles P Gonzales, D.C.NPI 1245300292

Title

President/Owner

Phone

(201) 858-0444

Specialties & licenses 1

Addresses

Other names 1

• Life Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Peter Gonzales, DC

  • Chiropractor
  • Bayonne, NJ
  • NPI 1245300292
  Medicare reassignment Care Compare group NPD Authorized official
• Tamanna Khan

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1386420529
  Medicare reassignment Care Compare group NPD
• Darshan Patel

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1851831770
  Medicare reassignment NPD
• Daniel S Wong, DPT

  • Physical Therapist
  • Wayne, NJ
  • NPI 1326298555
  Medicare reassignment NPD
• Unknown Kamakshi

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1649743568

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1437346350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024274",
            "telephone_number": "201-858-0444",
            "fax_number": "201-858-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024274",
            "telephone_number": "201-858-0444",
            "fax_number": "201-858-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P GONZALES DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-858-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00481200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Calvin Cephus, LMSW
• David Cha
• Vikash Reddy Chadive
• Priti Chandiwala-Mody, D.O.
• Charles M. Cummins, OD, PA (Visionworks Doctors of Optometry)
• James A Charles, M.D.
• Chas Home Care
• Chas Medical Supplies
• Alvin Chau, PA
• Yasmeen Chaudhary, MD

• Chiropractor in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.