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MRS. DASHURIJE RUPOLO PA
NPI 1528009206
Physician Assistant in Patchogue, NY

Active since June 10, 2006PECOS Enrolled
101 HOSPITAL ROAD, MEDICAL CENTER, PATCHOGUE, NY 11772(631) 687-2953(610) 617-6280 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Dashurije Rupolo Pa NPPES

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

MRS. DASHURIJE RUPOLO PA (NPI 1528009206) is an individual physician assistant in Patchogue, New York, licensed in New York (0090121) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Babylon.

NPPES Registry Identity

NPI1528009206
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DASHURIJE RUPOLOCredential: PA
Location Address101 HOSPITAL ROAD, MEDICAL CENTERPatchogue, NY 11772
Mailing Address60 Robinson AveEast Patchogue, NY 11772-4842 · (917) 519-2102
Phone(631) 687-2953
Fax(610) 617-6280
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateNovember 8, 2018
✔ NPI 1528009206 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 NY · 0090121
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.
101 HOSPITAL ROAD, Patchogue, NY 11772
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Secondary Practice Location 1

Location 1403 Little East Neck RdWest Babylon, NY 11704-6518 · Phone (631) 716-5463

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dashurije Rupolo Pa 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 11772 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 20

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

DAVID IRA JACKSON PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
ALAN ISAAC NEMETH DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7728
CONRAD MILLER MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7236
DIMPLE PUTHETHUKUDI GEORGE N P
Nurse Practitioner (Adult Health)
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7214
JASON ALLEN WINSLOW MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
LYNN CHRISTINE KRAMER PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
CARL S GOODMAN DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-7236

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 Dashurije Rupolo's NPI number?

The NPI number for Dashurije Rupolo is 1528009206. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Dashurije Rupolo located?

Dashurije Rupolo practices at 101 Hospital Road Medical Center, Patchogue, NY 11772. The listed phone number is (631) 687-2953.

What is Dashurije Rupolo's specialty?

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

Is Dashurije Rupolo enrolled in Medicare?

Yes. Dashurije Rupolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dashurije Rupolo was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.