MR. ADAM K GONZALEZ (NPI# 1164754321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164754321 |
| Entity Type | Individual |
| Full Name | MR. ADAM K GONZALEZ |
| Credential | RPA-C |
| Practice Address |
2800 Marcus Ave Lake Success NY 11042 |
| Practice Telephone | 5166227485 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013139 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120343 | Adam Gonzalez | Student in an Organized Health Care Education/Training Program | 620 Dusty Lane, Pipe Creek, TX 78063 | 2017-05-03 |
| 1346551868 | Adam Gonzalez | Psychologist | Stony Brook University Putnam Hall, Stony Brook, NY 11794-0001 | 2010-06-30 |
| 1649731084 | Adam Michael Gonzalez | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-03-28 |
| 1477045219 | Adam Clemente Gonzalez | Pathology | 301 University Blvd, Galveston, TX 77550 | 2018-06-06 |
| 1073060497 | Adam Michael Gonzalez | Chiropractor | 3933 Stone Way N, Seattle, WA 98103-8017 | 2016-09-01 |
| Street Address |
2800 MARCUS AVE |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099036 | Trusha Narendra Shah | Anesthesiology | 2800 Marcus Ave, Lake Success, NY 11042 | 2010-03-14 |
| 1669633509 | Ian Matthew Sambur | Otolaryngology | 2800 Marcus Ave, Suite 207, Lake Success, NY 10042 | 2008-06-23 |
| 1306003975 | Bryan Ding | Orthopaedic Surgery | 2800 Marcus Ave, Suite 102, Lake Success, NY 11042-1113 | 2008-05-20 |
| 1083886147 | Lisa Katz Buglino | Allergy & Immunology | 2800 Marcus Ave, Suite 202, Lake Success, NY 11042 | 2008-03-28 |
| 1437295391 | Hera Sambaziotis Md Mph & Martina Frandina Md, Obstetrics & Gynecolgy | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042 | 2007-01-29 |
| 1588744148 | Hera Sambaziotis | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042-0000 | 2006-10-17 |
| 1023044831 | Allen J Wiesenfeld | Radiology | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-23 |
| 1396784609 | Alan Fein | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| 1265471585 | Lawrence Shulman | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| 1013955855 | Vu Nguyen | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366715583 | Bin Gu | Physician Assistant | 450 Lakeville Rd, Dept Radiation Medicine, Lake Success, NY 11042-1118 | 2012-02-18 |
| 1639283609 | Candace Schiffer | Physician Assistant | 1999 Marcus Ave, Suite 120, Lake Success, NY 11042 | 2006-08-18 |
| 1407842719 | Michael W Duffe | Physician Assistant | 2001 Marcus Ave, Ste 170, Lake Success, NY 11042-1011 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on MR. ADAM K GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.