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DINA POLIDORI PA-C
NPI 1346461506
Physician Assistant in Rumson, NJ

Active since May 02, 2007PECOS Enrolled
18 WARDELL AVE, RUMSON, NJ 07760(732) 508-0882(629) 758-7834 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Apr 17, 2026, Apr 12, 2026 and 1 more (4 updates tracked since 2026).

About Dina Polidori Pa-c NPPES

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

DINA POLIDORI PA-C (NPI 1346461506) is an individual physician assistant in Rumson, New Jersey, licensed in New Jersey (25MP00345500) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346461506
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDINA POLIDORICredential: PA-C
Location Address18 WARDELL AVERumson, NJ 07760-1037
Mailing Address18 Wardell AveRumson, NJ 07760-1037 · (917) 572-5770 · Fax (629) 758-7834
Phone(732) 508-0882
Fax(629) 758-7834
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1346461506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NJ · 25MP00345500✔ Licensed in WY · PA1451✔ Licensed in NY · 006863✔ Licensed in CA · 68223✔ Licensed in NH · 3680✔ Licensed in UT · 14272984-1206✔ Licensed in FL · PA9121577✔ Licensed in IA · 137607✔ Licensed in MT · MED-PAC-LIC-169304
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.
18 WARDELL AVE, Rumson, NJ 07760
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Secondary Practice Locations 2

Location 11275 State Route 35Middletown, NJ 07748-2040 · Phone (732) 275-0999 · Fax (732) 275-0979
Location 21603 Capitol Ave Ste 413Cheyenne, WY 82001-4562 · Phone (307) 317-3114 · Fax (307) 226-7408

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dina Polidori Pa-c 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 07760 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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 Dina Polidori's NPI number?

The NPI number for Dina Polidori is 1346461506. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Dina Polidori located?

Dina Polidori practices at 18 Wardell Ave, Rumson, NJ 07760. The listed phone number is (732) 508-0882.

What is Dina Polidori's specialty?

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

Is Dina Polidori enrolled in Medicare?

Yes. Dina Polidori is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dina Polidori was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.