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

Individual provider Medical Physician Assistant · NPI 1053546838

Maria Domante, RPA-C is a Physician Assistant in Staten Island, New York. Qualified in 2000, 26 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

256 Mason Ave Bldg C
Staten Island, NY 10305-3408
Phone: (718) 226-6400
Fax: (718) 226-6404
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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 07971 (NY)

Record details

NPI number1053546838
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESMay 21, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Staten Island