Individual provider Active NPI

Ingrid Karen Busto Gonzaga, PT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1548408511
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01303600 Issued in NJ
Practice address
1907 Oak Tree Rd Ste 203
Edison, NJ 08820-2070
Phone
(732) 662-5770
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9294 CO
Physical Therapist 225100000X 40QA01303600 NJ Primary

Addresses

Primary practice location

1907 Oak Tree Rd Ste 203
Edison, NJ 08820-2070

Mailing address

11 Deerwood Ave
Edison, NJ 08817-3305
Phone (347) 549-0957

Other names 1

  • Ingrid Karen Francisco Busto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9294COMDPhysical Therapist
40QA01303600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jointkare Physical Therapy Inc. Physical Therapist CurrentSince May 18, 2025 Accepting new patients

Locations

1907 Oak Tree Rd
Ste 203
Edison, NJ 08820
Phone (732) 283-2500

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1548408511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEERWOOD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173305",
            "telephone_number": "347-549-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD STE 203",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-662-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "INGRID KAREN",
        "middle_name": "BUSTO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9294",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01303600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID KAREN",
            "last_name": "BUSTO",
            "middle_name": "FRANCISCO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.