Doctor profile · Federal record
Dr. Lori Gonzalo, RPA-C
Medical Physician Assistant · Staten Island, NY
- NPI 1639294002
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2071 Clove RD, Grasmere Medical Pavillion
Staten Island, NY 103041671
(718) 442-5550
fax (718) 556-3025 - Mailing address
-
20 Emily CT
Staten Island, NY 103072087
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- April 29, 2009
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- New York #009282
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639294002. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$239
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, INC. | 2 | $238.53 |
By nature of payment
Frequently asked questions
What is Dr. Lori Gonzalo's medical specialty?
Dr. Lori Gonzalo practices Medical Physician Assistant in Staten Island, NY.
Where does Dr. Lori Gonzalo practice?
Dr. Lori Gonzalo practices at 2071 Clove RD, Staten Island, NY 103041671. Office phone: 7184425550.
What is Dr. Lori Gonzalo's NPI?
Dr. Lori Gonzalo's National Provider Identifier (NPI) is 1639294002, issued by NPPES.