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

Individual provider Physician Assistant · NPI 1194493148

Elizabeth Domenica Dibartolo, PA-C is a Physician Assistant in New York, New York. Graduated from Mercy College in 2021, 5 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
5
Trained at
Mercy College
Licensed in
NY
In the registry since
2021
Specialties on file
2
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

160 E 53rd St
New York, NY 10022-5243
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 W 168th St, New York, NY 10032-3720 — (877) 426-5637

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027316 (NY)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1194493148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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