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MRS. LORI GONZALO RPA-C
NPI 1639294002
Physician Assistant - Medical in Staten Island, NY

Active since March 21, 2007
2071 CLOVE RD, GRASMERE MEDICAL PAVILLION, STATEN ISLAND, NY 10304(718) 442-5550(718) 556-3025 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lori Gonzalo Rpa-c NPPES

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

MRS. LORI GONZALO RPA-C (NPI 1639294002) is an individual medical provider in Staten Island, New York, licensed in New York (009282) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639294002
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LORI GONZALOCredential: RPA-C
Location Address2071 CLOVE RD, GRASMERE MEDICAL PAVILLIONStaten Island, NY 10304-1671
Mailing Address20 Emily CtStaten Island, NY 10307-2087 · (718) 966-1784 · Fax (718) 966-1969
Phone(718) 442-5550
Fax(718) 556-3025
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateApril 29, 2009
✔ NPI 1639294002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009282
2071 CLOVE RD, Staten Island, NY 10304
Open in Google Maps ↗

Other Identifiers 1

Medicare PINA400003862NY

Other Providers at the Same Location NPPES 9

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

KEVIN H WEINER, MD, PC
Specialist
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-4422
GRASMERE SLEEP LAB CORP
Internal Medicine (Sleep Medicine)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-2221
DR. JAY B. BASILLOTE M.D.
Specialist
2071 CLOVE RD, SUITE J
STATEN ISLAND, NY 10304
Richmond County (347) 774-8386
BG MEDICAL AND DIAGNOSTIC PC
Radiology (Diagnostic Ultrasound)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-5550
STATEN ISLAND MEDICAL GROUP, PLLC
Clinic/Center (Ambulatory Surgical)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 391-0303
RICHMOND IMAGING CORP
Radiology (Diagnostic Radiology)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-2221
CHARLES DEMARCO
Orthopaedic Surgery
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 987-1947
SAINT MARY PHYSICAL THERAPY P.C.
Specialist
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (917) 545-9249

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 Lori Gonzalo's NPI number?

The NPI number for Lori Gonzalo is 1639294002. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Lori Gonzalo located?

Lori Gonzalo practices at 2071 Clove Rd Grasmere Medical Pavillion, Staten Island, NY 10304. The listed phone number is (718) 442-5550.

What is Lori Gonzalo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lori Gonzalo was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.