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

Bin Gu

Individual provider Physician Assistant · NPI 1366715583

Bin Gu is a Physician Assistant in Lake Success, New York. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

450 Lakeville Rd Dept Radiation Medicine
Lake Success, NY 11042-1118
Phone: (516) 321-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015274 (NY)

Record details

NPI number1366715583
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2012
Last updated in NPPESAugust 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Success