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

Willy Gonzalez

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1629516547

Willy Gonzalez is a Sports Medicine in Tarrytown, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2017, 9 years ago. Practices with New York University, a 5,884-clinician group and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
9
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

200 White Plains Rd Fl 4
Tarrytown, NY 10591-5838
Phone: (888) 636-7840
Fax: (267) 479-1321
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 316950 (NY)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 25MB11472800 (NJ)

Record details

NPI number1629516547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2017
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address833 Chestnut St Ste 520, Philadelphia, PA 19107-4430

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare