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

Glendon G Lewis Jr., PA

Individual provider Physician Assistant · NPI 1669728549

Glendon G Lewis Jr., PA is a Physician Assistant in East Meadow, New York. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone: (516) 572-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 Corporate Cntr Pkwy Ste A, Santa Rosa, CA 95407-5453 — (707) 543-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 60500 (CA)

Record details

NPI number1669728549
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 30, 2012
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

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