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

Individual provider Medical Physician Assistant · NPI 1679172894

Dorea Dimaggio, PA-C is a Physician Assistant in Freehold, New Jersey. Qualified in 2020, 6 years ago. Practices with The Dermatology Clinic, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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

901 W Main St
Freehold, NJ 07728-2537
Phone: (732) 222-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00579000 (NJ)

Record details

NPI number1679172894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Dermatology Clinic — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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