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

Dianne Jaggon, RPA

Individual provider Medical Physician Assistant · NPI 1417187568

Dianne Jaggon, RPA is a Medical Physician Assistant in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

4904 19th Ave
Astoria, NY 11105-1002
Phone: (718) 777-3494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006585 (NY)

Record details

NPI number1417187568
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorYes
NPI enumeratedJuly 23, 2009
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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