Virginia Gonzalez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

55 N Main St
Freeport, NY 11520-2243

Phone

(516) 377-8014

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Medical Treatment PLLCGroup PAC ID 7810389715, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Shore Medical Treatment PLLC

  • Specialist
  • Jericho, NY
  • NPI 1457016669
  Medicare reassignment Care Compare group
• Medical Services of Manhattan, PLLC

  • Specialist
  • New York, NY
  • NPI 1861926990
  Medicare reassignment
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment
• Mni Medical Services, PLLC

  • Specialist
  • Delray Beach, FL
  • NPI 1275994766

  NY

  Medicare reassignment
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907
  NPD (past)
• Pain Doctors of America PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1992264469
  NPD (past)
• Radiology Interpretation Technology PLLC

  • Specialist
  • Ridgewood, NY
  • NPI 1700476462
  NPD (past)
• RFC Radiology Associates LLC

  • Diagnostic Radiology Physician
  • McAllen, TX
  • NPI 1437478302
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962841296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 NORTHERN BLVD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202243",
            "telephone_number": "516-377-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Deer Park Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291317",
            "country_code": "US",
            "telephone_number": "631-574-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6405 Woodside Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773695",
            "country_code": "US",
            "telephone_number": "877-376-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 W Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203120",
            "country_code": "US",
            "telephone_number": "516-321-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03803761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renaye Sanchia Golding, RN
• Evan Goldstein, D.D.S.
• Maria Isabel Goncalves, NP
• Kevin Amburgo Gonzales, PT
• Caitlin Gonzalez, PA-C
• Jasmine Goodwin
• Robin Grace-Ahn, RN
• Jacqueline Gracia, MSW
• Edgardo Grande, DDS
• Shlomo Greenberg, MD

• Medical Physician Assistant in Freeport, NY
• Providers in Freeport, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.