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LICELOT GONZALEZ RBT
NPI 1912372426
Specialist in Secaucus, NJ

Active since December 09, 2015
600 MEADOWLANDS PKWY, SUITE 142, SECAUCUS, NJ 07094(201) 446-7580 Get Directions Write a Review

NPPES record last updated: May 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Licelot Gonzalez Rbt NPPES

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

LICELOT GONZALEZ RBT (NPI 1912372426) is an individual specialist in Secaucus, New Jersey and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1912372426
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLICELOT GONZALEZCredential: RBT
Location Address600 MEADOWLANDS PKWY, SUITE 142Secaucus, NJ 07094-1633
Mailing Address600 Meadowlands Pkwy, Suite 142Secaucus, NJ 07094-1633 · (201) 446-7580
Phone(201) 446-7580
Sole ProprietorNo
Enumeration DateDecember 9, 2015
Last NPPES UpdateMay 8, 2016
✔ NPI 1912372426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
600 MEADOWLANDS PKWY, Secaucus, NJ 07094
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Other Providers at the Same Location NPPES

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

HANGER PROSTHETICS & ORTHOTICS EAST INC
Prosthetic/Orthotic Supplier
600 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Hudson County (201) 864-8300

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 Licelot Gonzalez's NPI number?

The NPI number for Licelot Gonzalez is 1912372426. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Licelot Gonzalez located?

Licelot Gonzalez practices at 600 Meadowlands Pkwy Suite 142, Secaucus, NJ 07094. The listed phone number is (201) 446-7580.

What is Licelot Gonzalez's specialty?

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

When was this NPI record last updated?

The NPPES record for Licelot Gonzalez was last updated on May 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.