Dina Polidori, PA-C is a medicare enrolled "Physician Assistant" in Rumson, New Jersey. Her current practice location is
18 Wardell Ave, Rumson, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 508-0882.
Dina Polidori is licensed to practice in New Jersey (license number 25MP00345500) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346461506.
Provider's Profile
| Full Name | Dina Polidori |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 18 Wardell Ave, Rumson, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346461506
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 05/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062728215
- Enrollment ID: I20150902001178
Medical Identifiers
Medical identifiers for Dina Polidori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346461506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA1451 (Wyoming) | Secondary |
| 363A00000X | Physician Assistant | 006863 (New York) | Secondary |
| 363A00000X | Physician Assistant | 25MP00345500 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | 68223 (California) | Secondary |
| 363A00000X | Physician Assistant | 3680 (New Hampshire) | Secondary |
| 363A00000X | Physician Assistant | 14272984-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | PA9121577 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 137607 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | MED-PAC-LIC-169304 (Montana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dina Polidori is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dina Polidori, PA-C
18 Wardell Ave,
Rumson, NJ 07760-1037
Ph: (917) 572-5770 | Dina Polidori, PA-C
18 Wardell Ave,
Rumson, NJ 07760-1037
Ph: (732) 508-0882 |
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