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

Dana Tyler Medina

Individual provider Physician Assistant · NPI 1376191791

Dana Tyler Medina is a Physician Assistant in Brooklyn, New York. Qualified in 2019, 7 years ago. Practices with North Shore-Lij Medical Group at Huntington PC, a 46-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone: (718) 757-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8137 165th St, Jamaica, NY 11432-1209 — (718) 757-5940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376191791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Group At Huntington Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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