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

Individual provider Medical Physician Assistant · NPI 1952737546

Dana Rose Iannicelli, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 016873-1 (NY)

Record details

NPI number1952737546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2013
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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 Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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