Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Anne Gonzalez

Individual provider Physical Therapist · NPI 1083222335

Jaclyn Anne Gonzalez is a Physical Therapist in Midland Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

85 Godwin Ave
Midland Park, NJ 07432-1970
Phone: (201) 639-8870
Fax: (201) 639-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00970800 (NJ)

Record details

NPI number1083222335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

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