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

Ashley Domzalski, MSPAS

Individual provider Physician Assistant · NPI 1093226557

Ashley Domzalski, MSPAS is a Physician Assistant in Wynnewood, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
9
Licensed in
NJ, PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave Ste 256 Mob East
Wynnewood, PA 19096-3432
Phone: (610) 642-6437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7600 River Rd, North Bergen, NJ 07047-6217 — (201) 854-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060142 (PA)
Physician Assistant Taxonomy 363A00000X (NJ)

Record details

NPI number1093226557
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAS
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wynnewood