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KRISTINA THERESA DIMEZZA PHYSICIAN ASSISTANT
NPI 1306210216
Physician Assistant in Smithtown, NY

Active since November 17, 2015
50 NY 25-A, SMITHTOWN, NY 11787(631) 862-3000 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2021, Jan 25, 2019, Dec 30, 2015 and 1 more (4 updates tracked since 2015).

About Kristina Theresa Dimezza Physician Assistant NPPES

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

KRISTINA THERESA DIMEZZA PHYSICIAN ASSISTANT (NPI 1306210216) is an individual physician assistant in Smithtown, New York and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1306210216
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTINA THERESA DIMEZZACredential: PHYSICIAN ASSISTANT
Location Address50 NY 25-ASmithtown, NY 11787-4916
Mailing Address225 Eastview DrCentral Islip, NY 11722-4539 · (631) 665-1600
Phone(631) 862-3000
Sole ProprietorNo
Enumeration DateNovember 17, 2015
Last NPPES UpdateNovember 18, 20214 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1306210216 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
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 · SurgicalTaxonomy 363AS0400X · License 019235 (NY)
50 NY 25-A, Smithtown, NY 11787
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Other Identifiers 1

Medicaid04354629NY

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 Kristina Dimezza's NPI number?

The NPI number for Kristina Dimezza is 1306210216. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Kristina Dimezza located?

Kristina Dimezza practices at 50 Ny 25-A, Smithtown, NY 11787. The listed phone number is (631) 862-3000.

What is Kristina Dimezza's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristina Dimezza was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.