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

Dina Marie Rivera

Individual provider Physician Assistant · NPI 1245609338

Dina Marie Rivera is a Physician Assistant in East Northport, New York. Qualified in 2004, 22 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2015

Practice location Address checks out

4199 Jericho Tpke
East Northport, NY 11731-6240
Phone: (631) 238-3066
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010462 (NY)

Record details

NPI number1245609338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESDecember 29, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Northport