Healthcare Provider Details

I. General information

NPI: 1750291605
Provider Name (Legal Business Name): GABRIELA ALZAMORA GONZALEZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 DANFORTH AVE
JERSEY CITY NJ
07305-1984
US

IV. Provider business mailing address

49 DEVONSHIRE RD
CEDAR GROVE NJ
07009-2021
US

V. Phone/Fax

Practice location:
  • Phone: 201-360-0871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02163600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: