Pamela Gregory-Fernandez, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23 003220 Issued in NY

Practice address

7815 Eliot Ave
Middle Village, NY 11379-1300

Phone

(718) 458-8944

NPI assigned

Aug 18, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1023563137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 POPPY AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103716",
            "telephone_number": "516-481-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791300",
            "telephone_number": "718-458-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY-FERNANDEZ",
        "first_name": "PAMELA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23 003220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Ivette Gonzalez, OTR/L
• Jolanta Gozdyra, MS SPED
• Brittany Gozikowski
• Jody Marie Grana, LMT
• Samantha Nicole Graziano, PHARMD
• Jillian Griesbach, LCSW
• Ana Maria Grigoras, PH.D.
• Laurie Grimaldi, RN
• Jillian B. Grogan, PHARMD
• Growth and Transitions Mental Health Counseling, PLLC

• Medical Physician Assistant in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.