MEDICARE: MR. GENE GABRIEL NGO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	055893	NY

General Provider Information

NPI Number	:	1235060161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GENE GABRIEL NGO PT

Provider Business Mailing Address
First Line	:	443 HOBOKEN AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2761
Country	:	US
Telephone Number	:	201-328-6853
Fax Number	:

Provider Business Practice Location Address
First Line	:	443 HOBOKEN AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2761
Country	:	US
Telephone Number	:	201-328-6853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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