LILY RYAN DIMARTINO PA-C
NPI 1366268559
Physician Assistant in Livingston, NJ

Active since December 03, 2024PECOS Enrolled
200 S ORANGE AVE STE 228, LIVINGSTON, NJ 07039(973) 322-0133 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Dec 3, 2024 (2 updates tracked since 2024).

About Lily Ryan Dimartino Pa-c NPPES

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

LILY RYAN DIMARTINO PA-C (NPI 1366268559) is an individual physician assistant in Livingston, New Jersey, licensed in New Jersey (25MP01010300) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1366268559
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILY RYAN DIMARTINOCredential: PA-C
Location Address200 S ORANGE AVE STE 228Livingston, NJ 07039-5817
Mailing Address200 S Orange Ave Ste 228Livingston, NJ 07039-5817 · (973) 322-0133
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateDecember 3, 2024
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1366268559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP01010300
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.

200 S ORANGE AVE STE 228, Livingston, NJ 07039

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lily Ryan Dimartino Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567939754
PECOS Enrollment IDI20260424001593
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 07039 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 2

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

Urology
200 S ORANGE AVE STE 228
LIVINGSTON, NJ 07039
Nurse Practitioner (Family)
200 S ORANGE AVE STE 228
LIVINGSTON, NJ 07039

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366268559, enumerated as an "individual" on December 03, 2024.

The provider is located at 200 S ORANGE AVE STE 228 LIVINGSTON, NJ 07039 and the phone number is (973) 322-0133.

Physician Assistant with taxonomy code 363A00000X.