Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Austin Topper, PA-C

Individual provider Physician Assistant · NPI 1972380509

Blake Austin Topper, PA-C is a Physician Assistant in Dix Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21 Vanderbilt Pkwy
Dix Hills, NY 11746-5815
Phone: (631) 896-0527
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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 030499 (NY)

Record details

NPI number1972380509
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 5, 2023

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