| Jenna Ditommaso, | |
|
4 Jones Ct, Massapequa Park, NY 11762-3235 | |
| (516) 633-5393 | |
| Not Available |
| Full Name | Jenna Ditommaso |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 4 Jones Ct, Massapequa Park, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417595257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nyu Langone Hospitals | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5925 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Ditommaso, 4 Jones Ct, Massapequa Park, NY 11762-3235 Ph: (516) 633-5393 | Jenna Ditommaso, 4 Jones Ct, Massapequa Park, NY 11762-3235 Ph: (516) 633-5393 |
Corinne Beyer, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Grand Blvd, Massapequa Park, NY 11762 Phone: 516-659-4269 |
Devon Amanda Abele, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 146 Henry St, Massapequa Park, NY 11762 Phone: 516-663-8884 |
Nicholas James Roth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 136 Kinsella Ave, Massapequa Park, NY 11762 Phone: 516-462-2001 |
Hooman Arya, PA-C, MS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5100 Sunrise Hwy, Massapequa Park, NY 11762 Phone: 516-548-3495 |
Ashley Lauren Spiteri, Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Grand Blvd, Massapequa Park, NY 11762 Phone: 516-663-3853 |
A'leah Dzikowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5050 Sunrise Hwy, Massapequa Park, NY 11762 Phone: 516-541-5437 |
Mr. Michael Jonathan Tamborino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 355 Broadway, Massapequa Park, NY 11762 Phone: 516-592-2912 |