NPPES file of Aug 9, 2026

Jefferson Gonzalo Lopez, PA

Physician Assistant · Central Islip, NY

Jefferson Gonzalo Lopez, PA is a physician assistant with a practice address in Central Islip, New York, and NPI 1407619455, issued on Feb 2, 2024. Check the license with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407619455
Name
Jefferson Gonzalo Lopez
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
225 Eastview Dr, Central Islip, NY 11722
Phone
(631) 665-1600
Enumerated
Feb 2, 2024
Record last updated
Feb 2, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 225 Eastview Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Gabriella AaronPhysician Assistant1790605376
  2. Nicole BarrettPhysician Assistant1104744366
  3. Mona Bascetta, PAPhysician Assistant1548112717
  4. Cheryl Blaivas, PAPhysician Assistant1437817319
  5. Angelinna BradfieldPhysician Assistant1629920707
  6. Shannon Camuso, PA-CPhysician Assistant1003766221

Verify Jefferson Gonzalo Lopez in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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Jefferson Gonzalo Lopez among 15,555 physician assistant records in New York

Jefferson Gonzalo Lopez, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 83% of them.

  • NPI issued2024 · 83% of these records are older, 11% newer
  • In a Medicare fileNo · 74% of these records are
  • In the CMS Doctors and Clinicians fileNo · 52% of these records are
  • Record last updated2024 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

45 physician assistant records list a practice address in Central Islip

They are 45 of the 482 NPPES records with a practice address in Central Islip, and 15,555 physician assistant records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. Lauren AlburgCentral Islip, NY 117221518614049
  2. Cheryl Blaivas, PACentral Islip, NY 117221437817319
  3. Sophia Eliassi, PACentral Islip, NY 117221326890492
  4. Emma Garry, PA-CCentral Islip, NY 117221477238921
  5. Alexus Haddad, PACentral Islip, NY 117221568183416
  6. Sofia Kamran, PACentral Islip, NY 117221386422319
  7. Albert Lee, PACentral Islip, NY 117221184317471
  8. Alexandra Leichter, PACentral Islip, NY 117221174391544

Common questions

What is Jefferson Gonzalo Lopez, PA's NPI number?

Jefferson Gonzalo Lopez, PA's National Provider Identifier (NPI) is 1407619455, issued on Feb 2, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Jefferson Gonzalo Lopez, PA located?

The NPPES record lists a practice address at 225 Eastview Dr, Central Islip, NY, 11722. Phone: (631) 665-1600. Providers update this record themselves, so call before visiting.

How can I verify Jefferson Gonzalo Lopez, PA's license?

Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.