Doctor profile · Federal record

Dr. JONATHAN GONZAGA, PT

Specialist (CMS: PHYSICAL THERAPIST IN PRIVATE PRACTICE) · Specialist · FAIR LAWN, NJ

  • NPI 1629248562
  • Accepts Medicare
  • 28 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14-25 PLAZA RD, S31
FAIR LAWN, NJ 074103546
(201) 797-2050
fax (201) 797-2051

Credentials & registration

NPPES · NUCC
NPI registered
March 2008 — 18 yrs on file
Profile last updated
June 6, 2013
Year of graduation
1998 — 28 yrs since
Specialty taxonomy
174400000X — NUCC code
State licenses (2)
New Jersey #40QA01303200 · New York #028580

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629248562. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
848
Distinct HCPCS
2
Medicare allowed
$21,952
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 550 12 $28
97140 Therapy procedure using manual technique, each 15 minutes 298 12 $23

In context: peer comparison

Among 2 peers in this city , average services per provider: 164. This provider delivers 5.2× the peer median.