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

Jessica Dizinno

Individual provider Physician Assistant · NPI 1124490750

Jessica Dizinno is a Physician Assistant in Woodbury, New York. Qualified in 2015, 11 years ago. Practices with True North Medical Group PC, a 186-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

45 Crossways Park Dr W
Woodbury, NY 11797-2037
Phone: (516) 992-4568
Fax: (516) 992-4637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019284 (NY)

Record details

NPI number1124490750
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2015
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice True North Medical Group Pc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Woodbury