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JOSEPH REALE PHYSICIAN ASSISTANT PC
NPI 1013147800
Physician Assistant - Surgical in Kings Park, NY

Active since July 15, 2009
12 ALFRED LN, KINGS PARK, NY 11754(516) 532-7805(973) 291-4439 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph Reale Physician Assistant Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH REALE PHYSICIAN ASSISTANT PC (NPI 1013147800) is a healthcare organization registered as a surgical in Kings Park, New York and active in the NPI registry since July 2009. The organization lists Joseph Reale, Owner, as its authorized official.

NPPES Registry Identity

NPI1013147800
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameJOSEPH REALE PHYSICIAN ASSISTANT PC
Location Address12 ALFRED LNKings Park, NY 11754-5013
Mailing Address12 Alfred LnKings Park, NY 11754-5013 · (516) 532-7805 · Fax (973) 291-4439
Phone(516) 532-7805
Fax(973) 291-4439
Organization SubpartNo
Authorized OfficialJoseph RealeOwner · (516) 532-7805
Enumeration DateJuly 15, 2009
✔ NPI 1013147800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 004677
12 ALFRED LN, Kings Park, NY 11754
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Other Identifiers 1

Medicare UPINS62211NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Reale Physician Assistant PC's NPI number?

The NPI number for Joseph Reale Physician Assistant PC is 1013147800. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Joseph Reale Physician Assistant PC located?

Joseph Reale Physician Assistant PC is located at 12 Alfred Ln, Kings Park, NY 11754. The listed phone number is (516) 532-7805.

What is Joseph Reale Physician Assistant PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Joseph Reale Physician Assistant PC was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.