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JONATHAN ORIO GONZAGA PT
NPI 1629248562
Specialist in Fair Lawn, NJ

Active since March 06, 2008Accepts Medicare Assignment
14-25 PLAZA RD, S31, FAIR LAWN, NJ 07410(201) 797-2050(201) 797-2051 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan Orio Gonzaga Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN ORIO GONZAGA PT (NPI 1629248562) is an individual specialist in Fair Lawn, New Jersey, licensed in New Jersey (40QA01303200) and active in the NPI registry since March 2008. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1629248562
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJONATHAN ORIO GONZAGACredential: PT
Location Address14-25 PLAZA RD, S31Fair Lawn, NJ 07410-3546
Mailing Address14-25 Plaza Rd, S-3-1Fair Lawn, NJ 07410-3546 · (201) 797-2050 · Fax (201) 797-2051
Phone(201) 797-2050
Fax(201) 797-2051
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 6, 2008
Last NPPES UpdateJune 6, 2013
✔ NPI 1629248562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NJ · 40QA01303200✔ Licensed in NY · 028580
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

14-25 PLAZA RD, Fair Lawn, NJ 07410
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Other Identifiers 2

Other40QA01303200NJ · License
Other028580NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Orio Gonzaga Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375613813
PECOS Enrollment IDI20100621000335

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE E. GRACE LCSW, PSYA
Social Worker (Clinical)
14-25 PLAZA RD, SUITE N 2-4
FAIR LAWN, NJ 07410
Bergen County (201) 803-9193
FAIR LAWN PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Chiropractor
14-25 PLAZA RD, SUITE S-2-4
FAIR LAWN, NJ 07410
Bergen County (201) 797-7373
ALBERT KHALAF DC LLC
Chiropractor
14-25 PLAZA RD, SUITE S24
FAIR LAWN, NJ 07410
Bergen County (201) 797-7373
FAIR LAWN CHIROPRACTIC THERAPY LLC
Chiropractor
14-25 PLAZA RD, SUITE S24
FAIR LAWN, NJ 07410
Bergen County (973) 797-7373
ADVANCED PHYSICAL THERAPY & SPORTS REHAB LLC
Physical Therapist
14-25 PLAZA RD
FAIR LAWN, NJ 07410
Bergen County (201) 797-7373
NICOLE E. GRACE, LCSW, PSYA, LLC
Social Worker (Clinical)
14-25 PLAZA RD, SUITE N 2-4
FAIR LAWN, NJ 07410
Bergen County (201) 803-9193
ADVANCED ACUPUNCTURE CENTER LLC
Acupuncturist
14-25 PLAZA RD
FAIR LAWN, NJ 07410
Bergen County (201) 797-7373
THOMAS GRACE PSY.D.
Clinic/Center (Mental Health (Including Community Mental Health Center))
14-25 PLAZA RD, SUITE N-2-4
FAIR LAWN, NJ 07410
Bergen County (201) 207-2199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Gonzaga's NPI number?

The NPI number for Jonathan Gonzaga is 1629248562. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Jonathan Gonzaga located?

Jonathan Gonzaga practices at 14-25 Plaza Rd S31, Fair Lawn, NJ 07410. The listed phone number is (201) 797-2050.

What is Jonathan Gonzaga's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jonathan Gonzaga enrolled in Medicare?

Yes. Jonathan Gonzaga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Gonzaga was last updated on June 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.