Individual provider · Type 1 NPI

Osvaldo Moreira-Gonzalez, PA-C

Physician Assistant · Patchogue, NY

NPI number 1801598479 Active

Practice location

105 Medford Ave
Patchogue, NY 11772-1223

Call (631) 580-1000 Map

Fax (631) 350-0519

Mailing address

209 Hawkins Ave
Ronkonkoma, NY 11779-4265

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801598479

Osvaldo Moreira-Gonzalez, PA-C's National Provider Identifier is 1801598479, issued on Mar 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Patchogue, NY. The record was last updated on Dec 9, 2025.