Jessica L Amaya Gonzalez, ADULT/GERONTOLOGYNP
Jessica L Amaya Gonzalez, ADULT/GERONTOLOGYNP is a Nurse Practitioner in Roslyn, New York. Qualified in 2017, 9 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 9
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
100 Port Washington BlvdRoslyn, NY 11576-1353
Phone: (516) 562-6766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F308225-1 (NY) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence F308225-1 (NY) |
Record details
| NPI number | 1144737164 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ADULT/GERONTOLOGYNP |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2017 |
| Last updated in NPPES | April 1, 2021 |
| Certification date | April 1, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Southwest Suffolk Medical Pc — 200 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Roslyn
-
Rita Coronel, NP
100 Port Washington Blvd, Roslyn, NY 11576-1353 · (516) 562-6000
-
Miss. Stacy-Ann Grenan, NP
100 Port Washington Blvd, Roslyn, NY 11576-1347 · (516) 562-6000
-
Michael Hunter
100 Port Washington Blvd, Roslyn, NY 11576-1353 · (516) 562-6000
-
Asha Phillips
100 Port Washington Blvd, Roslyn, NY 11576-1347 · (516) 562-6000