PHYSICIAN ASSISTANT ASSOCIATE PLLC NPI 1780336917

NPI Information

  • NPI: 1780336917
  • Provider Name: PHYSICIAN ASSISTANT ASSOCIATE PLLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 1000 MONTAUK HIGHWAY
    WEST ISLIP, NY
    ZIP 11795
  • Phone: (631) 376-3000

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NPI Details

PHYSICIAN ASSISTANT ASSOCIATE PLLC is a surgical physician assistant in West Islip, NY. PHYSICIAN ASSISTANT ASSOCIATE PLLC NPI is 1780336917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 MONTAUK HIGHWAY
WEST ISLIP, NY
ZIP 11795
Phone: (631) 376-3000

The provider's authorized official is Robert Mascarelli .
The authorized official title is Physician Assistant and has the following contact phone number (573) 240-6942.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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