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

Individual provider Physician Assistant · NPI 1982970703

Kimberly Gonzalez, RPA-C is a Physician Assistant in Flushing, New York. Qualified in 2011, 15 years ago. Practices with Ny Society for the Relief of Ruptured and Crippled Maintaining, a 175-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015165 (NY)

Record details

NPI number1982970703
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESMay 11, 2012
Mailing address15450 11th Ave, Whitestone, NY 11357-1917

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Flushing