Eric Gonzalez, PTA, CPT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00324300 Issued in NJ

Practice address

10 Parsonage Rd
5TH Floor, Suite 500
Edison, NJ 08837-2429

Phone

(917) 684-5080

NPI assigned

Jan 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1750826392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S 4TH AVE",
            "address_2": "FLOOR 2",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042620",
            "telephone_number": "917-684-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD",
            "address_2": "5TH FLOOR, SUITE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "917-684-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PTA, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00324300",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009807-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra R Goldstein, MD
• Julia L Gomez, PA-C
• Jessica Goncalves
• Ingrid Karen Busto Gonzaga, PT
• Lorenzo Azcarate Gonzales, PT
• Miledys Gonzalez, RN
• Gopal K. Sinha MD PA
• Phillip Stuart Gordon, MD
• Melissa Gorrin, RN
• Mary Ann Gosselin

• Physical Therapy Assistant in Edison, NJ
• Providers in Edison, 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 18, 2017; 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.