Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Gomez Pereira, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1306325477

Andrea Gomez Pereira, PHYSICIANASSISTANT is a Physician Assistant in Port Jefferson Station, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2018, 8 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

410 Hallock Ave
Port Jefferson Station, NY 11776
Phone: (631) 642-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 Union Ave, Holbrook, NY 11741-1704 — (570) 856-7535

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022423-1 (NY)

Record details

NPI number1306325477
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESNovember 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Jefferson Station