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

Marissa Brianne Dahlgren

Individual provider Physician Assistant · NPI 1588123632

Marissa Brianne Dahlgren is a Physician Assistant in Bay Shore, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 732 Smithtown Byp, Smithtown, NY 11787-5020 — (631) 656-9040
  • 760 Sunrise Hwy, West Babylon, NY 11704-6014 — (631) 242-1181

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023300-1 (NY)

Record details

NPI number1588123632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESMay 16, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 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 Bay Shore