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

Damiann Macgowan

Individual provider Physician Assistant · NPI 1750445979

Damiann Macgowan is a Physician Assistant in Jericho, New York. Qualified in 2001, 25 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
25
Licensed in
NY, PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

16 Chemung Pl
Jericho, NY 11753-1502
Phone: (516) 470-0985
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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 012587-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA051256 (PA)

Record details

NPI number1750445979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2006
Last updated in NPPESMay 7, 2012
Mailing address16 Chemung Pl, Jericho, NY 11753-1502

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jericho