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

Jaclyn Gonzalez

Individual provider Physician Assistant · NPI 1114881521

Jaclyn Gonzalez is a Physician Assistant in Langhorne, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Trinity Health Mid-Atlantic Medical Group, a 357-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025

Practice location Address checks out

1203 Langhorne Newtown Rd Ste 225
Langhorne, PA 19047-1209
Phone: (215) 710-6613
Fax: (215) 710-6614
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA007549 (PA)

Record details

NPI number1114881521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2025
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address4034 Pechin St, Philadelphia, PA 19128-3626

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Trinity Health Mid-Atlantic Medical Group — 357 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Langhorne