Doctor profile · Federal record
Dr. Ezra Gillego, RPA-C
Surgical Physician Assistant (CMS: Physician Assistant) · New York, NY
- NPI 1407061393
- Accepts Medicare
- 20 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1St Ave 16Th Street
New York, NY 10003
(212) 420-2953 - Mailing address
-
464 E Beech St
Long Beach, NY 115613604
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- March 11, 2014
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- New York #011163
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407061393. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$263
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $121.84 | |
| Mallinckrodt Hospital Products INC. | 1 | $118.73 | |
| Chiesi USA, INC. | 1 | $22.59 |
By nature of payment
Frequently asked questions
What is Dr. Ezra Gillego's medical specialty?
Dr. Ezra Gillego practices Surgical Physician Assistant in New York, NY.
Where does Dr. Ezra Gillego practice?
Dr. Ezra Gillego practices at 1St Ave 16Th Street, New York, NY 10003. Office phone: 2124202953.
What is Dr. Ezra Gillego's NPI?
Dr. Ezra Gillego's National Provider Identifier (NPI) is 1407061393, issued by NPPES.
Does Dr. Ezra Gillego accept Medicare assignment?
Yes. Dr. Ezra Gillego accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.