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

MS. Gwendolyn Cunningham, PA

Individual provider Surgical Physician Assistant · NPI 1154406031

MS. Gwendolyn Cunningham, PA is a Physician Assistant in New York, New York. Qualified in 2006, 20 years ago. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-2500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 011459 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 011459 (NY)

Record details

NPI number1154406031
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESDecember 19, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York