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

Andrea Martinez Villalobos, RPA-C

Individual provider Medical Physician Assistant · NPI 1003280041

Andrea Martinez Villalobos, RPA-C is a Physician Assistant in Central Islip, New York. Qualified in 2015, 11 years ago. Practices with Long Island Select Healthcare, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

159 Carleton Ave
Central Islip, NY 11722-4172
Phone: (631) 650-2510
Fax: (631) 650-0497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018884 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 018884 (NY)

Record details

NPI number1003280041
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2015
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Long Island Select Healthcare, Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Central Islip