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

Individual provider Physician Assistant · NPI 1457527095

John Mullin, PA is a Physician Assistant in Staten Island, New York. Qualified in 2005, 21 years ago. Practices with Jal 28 LLC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2008
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

1414 Victory Blvd
Staten Island, NY 10301-3908
Phone: (718) 447-1261
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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 010986-1 (NY)

Record details

NPI number1457527095
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2008
Last updated in NPPESMay 4, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jal 28 Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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