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

Danielle Mulligan

Individual provider Physician Assistant · NPI 1770389827

Danielle Mulligan is a Physician Assistant in Oceanside, New York. Qualified in 2025, 1 year ago. Practices with South Nassau Physician Group PC, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

1 Healthy Way
Oceanside, NY 11572-1551
Phone: (877) 768-8462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770389827
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address8 Morton St, Farmingdale, NY 11735-4324

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice South Nassau Physician Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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