Gregory Baumgartner
Gregory Baumgartner is a Physician Assistant in Centereach, New York. Qualified in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 7
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
122 Ronkonkoma BlvdCentereach, NY 11720-3314
Phone: (631) 655-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 024218 (NY) |
Record details
| NPI number | 1205488970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2019 |
| Last updated in NPPES | February 5, 2021 |
| Certification date | February 5, 2021 |
| Mailing address | 122 Ronkonkoma Blvd, Centereach, NY 11720-3314 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Centereach
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MS. Lynette Marie Chacona, PA-C
11 Jackson Ave, Centereach, NY 11720-3221 · (631) 846-7529
-
Alison M Jackson, PA-C
23 S Howell Ave Stony Brook Medicine - Vascular Surgery, Centereach, NY 11720-4445 · (631) 638-1670
-
Patrick Kuflewski, PA-C
23 S Howell Ave Ste K, Centereach, NY 11720-4445 · (631) 473-1178
-
Carol Eugenia Paradise, PA
23 S Howell Ave Ste G, Centereach, NY 11720 · (631) 638-1672