Jonathan Orio Gonzaga, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01303200 Issued in NJ

Practice address

14-25 Plaza Rd
S31
Fair Lawn, NJ 07410-3546

Phone

(201) 797-2050

Fax

(201) 797-2051

NPI assigned

Mar 6, 2008

Last updated

Jun 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jointkare Physical Therapy Inc.

  dba JointKare Physical Therapy

  • Physical Therapy Clinic/Center
  • Edison, NJ
  • NPI 1770379125
  Medicare reassignment NPD
• Manalapan Spine Care and Rehabilitation

  • Chiropractor
  • Manalapan, NJ
  • NPI 1902012578
  Medicare reassignment NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Prime Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Linden, NJ
  • NPI 1104891720
  Medicare reassignment NPD
• Varsha Pohuja LLC

  dba Shivaya Rehabilitation

  • Rehabilitation Clinic/Center
  • Long Branch, NJ
  • NPI 1295281699
  Medicare reassignment NPD
• Jointkare Physical Therapy and Services Professional Association

  • Specialist
  • Fair Lawn, NJ
  • NPI 1144561416
  Authorized official Same address or phone
• Medicine and Rehabilitation PC

  • Internal Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1407893662
  NPD
• Broadway Chiropractic & Rehabilitation Center

  • Chiropractor
  • Bayonne, NJ
  • NPI 1326379850
  NPD (past)
• North Austin Medical PC

  • Specialist
  • Forest Hills, NY
  • NPI 1770658627
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1629248562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD",
            "address_2": "S-3-1",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103546",
            "telephone_number": "201-797-2050",
            "fax_number": "201-797-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD",
            "address_2": "S31",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103546",
            "telephone_number": "201-797-2050",
            "fax_number": "201-797-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "JONATHAN",
        "middle_name": "ORIO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "028580",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01303200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA01303200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Goldrin
• Iris Goldshtrom, PT
• William Bernard Goldsmith, OD
• Arrio Gont, CHIROPRACTOR
• Roman Gont, CHIROPRACTOR
• William Jeffrey Gonzalez, LSW
• Lynnette Joy Goodman, LCSW
• Leah Gooen, LCSW
• Brooke Goonetilleke-Alvarado, OD
• Edlira Gora

• Specialist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.