CALVIN DYMOND RPA-C NPI 1811986649

NPI Information

NPI: 1811986649
Provider Name: CALVIN DYMOND, RPA-C
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
PECOS Registration: Yes
Address: 95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-6999

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NPI Details

Calvin Dymond, RPA-C is a surgical physician assistant in Middletown, NY with 22 years of experience. Calvin Dymond, RPA-C NPI is 1811986649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941-001
Phone: (845) 703-6999
Fax: (845) 703-6297

The NPI 1811986649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Replacement of knee joint, both sides of knee (HCPCS:27447)
Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 10/14/2005 and was last updated on 11/17/2009.

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
1	363A00000X	Physician Assistant		010264	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	010264	NEW YORK	No
3	363AS0400X	Physician Assistant	Surgical	010264	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q36605	MEDICARE UPIN	NEW YORK
2	02650764	MEDICAID	NEW YORK
3	5772L47771	MEDICARE PIN	NEW YORK

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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