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DYLAN O'ROURKE R-PAC
NPI 1083606784
Physician Assistant in Hicksville, NY

Active since August 18, 2005PECOS Enrolled
81 N BROADWAY, HICKSVILLE, NY 11801(516) 933-4350(516) 933-4352 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan O'rourke R-pac NPPES

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

DYLAN O'ROURKE R-PAC (NPI 1083606784) is an individual physician assistant in Hicksville, New York, licensed in New York (008867) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Great Neck.

NPPES Registry Identity

NPI1083606784
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN O'ROURKECredential: R-PAC
Location Address81 N BROADWAYHicksville, NY 11801-2920
Mailing Address81 N BroadwayHicksville, NY 11801-2920 · (516) 933-4350 · Fax (516) 933-4352
Phone(516) 933-4350
Fax(516) 933-4352
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateNovember 12, 2019
✔ NPI 1083606784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 008867
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 008867 (NY)
81 N BROADWAY, Hicksville, NY 11801
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Secondary Practice Location 1

Location 1900 Northern Blvd, Suite 140Great Neck, NY 11021-5302 · Phone (516) 482-0302 · Fax (516) 482-0158

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan O'rourke R-pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN GINSBURG PA
Physician Assistant
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4350
BODY MOVEMENT HICKSVILLE PT, P.C
Clinic/Center (Physical Therapy)
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 840-8692
MS. ROCHELLE SCHAEFFER L.AC.
Acupuncturist
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4350
RICHARD S. OBEDIAN MD PLLC
Orthopaedic Surgery
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4350
PREFERRED MRI, PC
Radiology (Diagnostic Radiology)
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (631) 694-2816
DOMINIC COTUMACCIO PA
Physician Assistant (Medical)
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4350
ISLAND SPINE & SPORTS MEDICINE PC
Physical Therapist
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4351
DANIEL FELDMAN M.D.
Specialist
81 N BROADWAY
HICKSVILLE, NY 11801
Nassau County (516) 933-4350

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 Dylan O'rourke's NPI number?

The NPI number for Dylan O'rourke is 1083606784. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Dylan O'rourke located?

Dylan O'rourke practices at 81 N Broadway, Hicksville, NY 11801. The listed phone number is (516) 933-4350.

What is Dylan O'rourke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan O'rourke enrolled in Medicare?

Yes. Dylan O'rourke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan O'rourke was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.