Paula A Gonzalez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00282300 Issued in NJ

Practice address

6612 Bergenline Ave # 18
West New York, NJ 07093-1719

Phone

(201) 854-5511

Fax

(201) 854-5522

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1740798156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 BERGENLINE AVE # 18",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931719",
            "telephone_number": "201-854-5511",
            "fax_number": "201-854-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PAULA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00282300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Holistic Treatment Center
• Ana Gonzalez, NURSE PRACTITIONER
• Daniella Maria Gonzalez, PHARMD
• Luis Alberto Gonzalez, M.D., F.A.C.C.
• Miguel A Gonzalez, DDS
• Luis Anthony Goyco, MD
• Great Atlantic & Pacific Tea Co., Inc.
• Leon Greenberg, D.D.S.
• Yana Grinberg, RPH
• Grounded Space Mental Health Counseling PLLC

• Physical Therapy Assistant in West New York, NJ
• Providers in West New York, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.