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

Dominique Goodwin, PA

Individual provider Physician Assistant · NPI 1598503872

Dominique Goodwin, PA is a Physician Assistant in Astoria, New York. Qualified in 2023, 3 years ago. Practices with Hicksville Family Medical Care PLLC, a 45-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3007 36th Ave Ste A
Astoria, NY 11106-2314
Phone: (917) 310-3371
Fax: (516) 938-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3715 23rd Ave Ste A, Astoria, NY 11105-1995 — (917) 310-3371
  • 2001 Main St, Buffalo, NY 14208-1035 — (716) 883-7000
  • 9018 Sutphin Blvd Ste A, Jamaica, NY 11435-3636 — (917) 310-3371

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032438 (NY)

Record details

NPI number1598503872
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 19, 2024
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address135 Mineola Blvd Fl 2, Mineola, NY 11501-3917

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hicksville Family Medical Care Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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