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

David C Ly, PA-C

Individual provider Physician Assistant · NPI 1982954913

David C Ly, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2012, 14 years ago. Practices with University Anesthesia Medical Group, a 404-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut, New York and Washington.

Years since qualifying
14
Licensed in
CT, NY, WA
In the registry since
2012
Specialties on file
3
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

267 Grant St
Bridgeport, CT 06610
Phone: (203) 284-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Elm And Carlton Streets, Buffalo, NY 14263-0001 — (716) 845-2300
  • 888 Swift Blvd, Richland, WA 99352-3514 — (509) 942-2648

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2793 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 020734 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA61060288 (WA)

Record details

NPI number1982954913
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2012
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address16 Allen Pl, New Haven, CT 06512-1805

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Anesthesia Medical Group — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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