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PHYSICIAN ASSISTANT ASSOCIATE PLLC
NPI 1780336917
Physician Assistant - Surgical in West Islip, NY

Active since January 19, 2022
1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Physician Assistant Associate Pllc NPPES

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

PHYSICIAN ASSISTANT ASSOCIATE PLLC (NPI 1780336917) is a healthcare organization registered as a surgical in West Islip, New York and active in the NPI registry since January 2022. The organization lists Robert Mascarelli, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1780336917
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePHYSICIAN ASSISTANT ASSOCIATE PLLC
Location Address1000 MONTAUK HIGHWAYWest Islip, NY 11795
Mailing Address998c Old Country Rd Ste 132Plainview, NY 11803-4917 · (573) 240-6942 · Fax (516) 827-4517
Phone(631) 376-3000
Organization SubpartNo
Authorized OfficialRobert MascarelliPhysician Assistant · (573) 240-6942
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1780336917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1000 MONTAUK HIGHWAY, West Islip, NY 11795
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. KRISTY SELVAGGI RPAC
Physician Assistant
1000 MONTAUK HIGHWAY, GOOD SAMARITAN HOSPITAL
WEST ISLIP, NY 11795
Suffolk County (631) 376-4444
GOOD SAMARITAN HOSPITAL
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3069
WILLIAM M KAINZBAUER MD
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (952) 595-1100
MR. MATTHEW RODERICK MCKENNEY M.D.
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
OLIVIA ROSA JOHN
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
OLUWAPAMILERIN OLAYEMI M.D.
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
DR. CHRISTOPHER MICHAEL BRENNAN M.D.
Internal Medicine
1000 MONTAUK HIGHWAY, HOSPITALIST DEPARTMENT 3RD FLOOR
WEST ISLIP, NY 11795
Suffolk County (631) 376-3610
DR. HEATHER GROOMS DO
Pediatrics
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4444

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 Physician Assistant Associate PLLC's NPI number?

The NPI number for Physician Assistant Associate PLLC is 1780336917. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Physician Assistant Associate PLLC located?

Physician Assistant Associate PLLC is located at 1000 Montauk Highway, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Physician Assistant Associate PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Physician Assistant Associate PLLC was last updated on January 19, 2022. 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.