CARLOS M GONZALEZ PA
NPI 1497752711
Physician Assistant in Bronx, NY

Active since July 01, 2005
1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos M Gonzalez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS M GONZALEZ PA (NPI 1497752711) is an individual physician assistant in Bronx, New York, licensed in New York (005942) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497752711
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARLOS M GONZALEZCredential: PA
Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateJune 12, 2013
NPI 1497752711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 005942
Definition
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.
1065 SOUTHERN BLVD, Bronx, NY 10459

Other Identifiers 3

Medicare UPIN43733OH
Medicare PIN970022217OH
Medicare PIN76601OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Nutritionist
1065 SOUTHERN BLVD
BRONX, NY 10459
Psychologist (Clinical)
1065 SOUTHERN BLVD
BRONX, NY 10459
Nurse Practitioner (Adult Health)
1065 SOUTHERN BLVD
BRONX, NY 10459
Nurse Practitioner (Family)
1065 SOUTHERN BLVD
BRONX, NY 10459
Physician Assistant
1065 SOUTHERN BLVD
BRONX, NY 10459
Dental Hygienist
1065 SOUTHERN BLVD
BRONX, NY 10459
Obstetrics & Gynecology (Gynecology)
1065 SOUTHERN BLVD
BRONX, NY 10459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Gonzalez's NPI number?

The NPI number for Carlos Gonzalez is 1497752711. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Carlos Gonzalez located?

Carlos Gonzalez practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.

What is Carlos Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carlos Gonzalez was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.