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Export Provider Record NPI 1275691800
Linda DodickPA
Active
NPI Number1275691800
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1275691800
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-12-05
Last Updated2011-07-05
Mailing Address604 E Park Ave
Long Beach, NY 11561-2505
United States
Phone: (516) 432-0011 | Fax: (516) 889-5681
📍 View Map
Primary Practice Address604 E Park Ave
Long Beach, NY 11561-2505
United States
Phone: (516) 432-0011 | Fax: (516) 889-5681
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantNY007146-1
Export Provider Record NPI 1275691800
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About NPI 1275691800

Linda Dodick PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275691800. The primary specialty listed is Physician Assistant. The provider is located in Long Beach, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275691800?

NPI 1275691800 belongs to Linda Dodick PA, a Physician Assistant in Long Beach, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275691800 active?

The current status of NPI 1275691800 in the NPPES registry is Active. The record was last updated on 2011-07-05.

What specialty is NPI 1275691800?

NPI 1275691800 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275691800?

You can verify NPI 1275691800 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275691800?

The primary practice address on file for NPI 1275691800 is 604 E Park Ave, Long Beach, NY 11561-2505. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275691800 issued?

NPI 1275691800 was first issued (enumerated) on 2006-12-05. The NPPES record was last updated on 2011-07-05.

Practice Location Map

Linda Dodick is located at 604 E Park Ave, Long Beach, NY. Use the map below to find directions or verify the practice location.

📍 604 E Park Ave, Long Beach, NY 11561-2505  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Linda Dodick. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275691800. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant007146-1NY
Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162