Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adrian Arredondo

Individual provider Physician Assistant · NPI 1407287873

Adrian Arredondo is a Physician Assistant in Deer Park, New York. Qualified in 2013, 13 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

4 Hillside Rd
Deer Park, NY 11729-3204
Phone: (516) 758-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17203 (NY)

Record details

NPI number1407287873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2013
Last updated in NPPESJune 28, 2023
Mailing address4 Hillside Rd, Deer Park, NY 11729-3204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deer Park