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

Gary J Bouchard, PA-C

Individual provider Physician Assistant · NPI 1457505083

Gary J Bouchard, PA-C is a Physician Assistant in Greenlawn, New York. Qualified in 1987, 39 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
39
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

190 Broadway
Greenlawn, NY 11740-2120
Phone: (732) 668-4192
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003223 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MP 00002600 (NJ)

Record details

NPI number1457505083
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 10, 2008
Last updated in NPPESJune 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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