Individual provider Active NPI

Shailyn Gonzalez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Stamford, CT
National Provider Identifier
1689090649
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015892 Issued in NY
Practice address
29 Hospital PLZ Ste 501
Stamford, CT 06902-3602
Phone
(203) 276-2321
Fax
(203) 276-2327
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015892 NY Primary

Addresses

Primary practice location

29 Hospital PLZ Ste 501
Stamford, CT 06902-3602

Mailing address

28 Kass Rd
White Plains, NY 10605-4411
Phone (631) 748-4468

Other practice location 1

32 Strawberry Hill Ct Fl 2
Stamford, CT 06902-2594
Phone (203) 276-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712001352 NY Practitioner - Physician Assistant 3274802947 Reassigns benefits to 2 organizations
I20230207000452 CT Practitioner - Physician Assistant 3274802947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020

29 Hospital PLZ
Stamford, CT 06902-3602

4 Hospital PLZ
Suite 102
Stamford, CT 06902-3602
Phone (203) 276-2330

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644

750 White Plains Rd
Scarsdale, NY 10583-5002
Phone (914) 849-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2017 Accepting new patients
New York University CurrentSince Jun 1, 2017 Accepting new patients
White Plains Physician Services PC CurrentSince May 20, 2025 Accepting new patients

Locations

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

16 1st Ave
New York, NY 10009
Phone (212) 420-4191

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

122 Maple Ave
Fl 7
White Plains, NY 10601
Phone (914) 434-1475

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1689090649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KASS RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106054411",
            "telephone_number": "631-748-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLZ STE 501",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-2321",
            "fax_number": "203-276-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Strawberry Hill Ct Fl 2",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022594",
            "country_code": "US",
            "telephone_number": "203-276-2321",
            "fax_number": "203-276-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SHAILYN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.